Obituaries

Steven Burchett
B: 1950-05-23
D: 2020-06-27
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Burchett, Steven
Venetia Stamper
B: 1934-01-19
D: 2020-06-14
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Stamper, Venetia
Nancy Kiser
B: 1930-06-06
D: 2020-06-02
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Kiser, Nancy
Teresa Gilligan
B: 1961-01-25
D: 2020-05-23
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Gilligan, Teresa
Alice Maynard
B: 1937-06-13
D: 2020-05-19
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Maynard, Alice
Billy Evans
B: 1944-05-17
D: 2020-05-12
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Evans, Billy
Elizabeth Jones
B: 1933-06-03
D: 2020-05-02
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Jones, Elizabeth
Francis Wallace
B: 1942-01-16
D: 2020-04-06
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Wallace, Francis
Donald Withrow
B: 1931-02-06
D: 2020-04-03
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Withrow, Donald
Della Boggs
B: 1953-01-07
D: 2020-03-31
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Boggs, Della
Geneva Martin
B: 1939-07-27
D: 2020-03-28
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Martin, Geneva
Betty McDavid
B: 1935-03-31
D: 2020-03-21
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McDavid, Betty
Eva Fryer
B: 1935-05-16
D: 2020-03-12
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Fryer, Eva
Deleada Davis
B: 1934-06-28
D: 2020-03-10
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Davis, Deleada
Freda Nipp
B: 1922-01-20
D: 2020-03-08
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Nipp, Freda
John "Bill" Tomlin
B: 1935-11-07
D: 2020-02-28
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Tomlin, John "Bill"
Ray Jessie
B: 1933-04-20
D: 2020-02-25
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Jessie, Ray
Philip Parsons
B: 1962-09-20
D: 2020-02-16
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Parsons, Philip
Debra Mayo
B: 1960-05-02
D: 2020-02-14
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Mayo, Debra
George Prichard
B: 1946-10-06
D: 2020-01-27
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Prichard, George
Clifton Sergent
B: 1942-05-02
D: 2020-01-11
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Sergent, Clifton

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Grayson, KY 41143
Phone: 606-474-5114
Fax: 606-474-0840

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
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Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
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Jewelry:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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