Obituaries

Dorothy Jean Bryant
B: 1929-09-26
D: 2017-07-29
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Bryant, Dorothy Jean
Shirley Russell
B: 1937-12-17
D: 2017-07-18
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Russell, Shirley
Carole Oliver Davis
B: 1945-09-16
D: 2017-07-17
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Oliver Davis, Carole
James Wade
B: 1926-12-06
D: 2017-07-14
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Wade, James
Wayne Bryant
B: 1934-08-08
D: 2017-07-10
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Bryant, Wayne
Margurite Womble
B: 1934-04-04
D: 2017-06-21
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Womble, Margurite
William Graves
B: 1923-07-26
D: 2017-06-20
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Graves, William
Linda Creel
B: 1955-01-04
D: 2017-06-18
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Creel, Linda
Janet Ramage
B: 1934-09-09
D: 2017-06-17
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Ramage, Janet
Margaret Jones
B: 1929-01-14
D: 2017-06-01
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Jones, Margaret
Ralph Perkins
B: 1915-12-19
D: 2017-05-29
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Perkins, Ralph
Elaine Nichols
B: 1946-10-10
D: 2017-05-27
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Nichols, Elaine
Cecil Holder
B: 1926-03-08
D: 2017-05-17
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Holder, Cecil
Billy Goodwin
B: 1970-12-21
D: 2017-04-18
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Goodwin, Billy
Gordon Logan
B: 1926-11-16
D: 2017-04-12
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Logan, Gordon
Donny Byars
B: 1950-09-22
D: 2017-03-26
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Byars, Donny
Allie Orr
B: 1924-09-21
D: 2017-03-19
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Orr, Allie
Bessie Weeks
B: 1925-06-03
D: 2017-02-25
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Weeks, Bessie
Mae Edmondson
B: 1939-04-24
D: 2017-02-19
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Edmondson, Mae
Connie Byars
B: 1941-10-10
D: 2017-02-15
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Byars, Connie
Ralph Hutchins
B: 1923-01-21
D: 2017-02-08
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Hutchins, Ralph

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109 S. Monroe St.
Calhoun City, MS 38916
Phone: 662-628-5177
Fax: 662-628-4977

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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:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
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

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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