Obituaries

Ruby Curington
B: 1923-11-07
D: 2019-09-18
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Curington, Ruby
Kyndal Fox
B: 1971-02-09
D: 2019-09-07
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Fox, Kyndal
Sheryl Blaylock
B: 1945-03-02
D: 2019-09-01
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Blaylock, Sheryl
William Alfred "Bill" Bounds
B: 1956-01-13
D: 2019-09-01
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Bounds, William Alfred "Bill"
Christine Burt
B: 1927-01-06
D: 2019-08-22
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Burt, Christine
Karen Herndon
B: 1956-02-18
D: 2019-08-20
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Herndon, Karen
Jim Ray Hitt
B: 1946-01-15
D: 2019-08-17
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Hitt, Jim Ray
Sharon Swindoll
B: 1953-01-26
D: 2019-08-07
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Swindoll, Sharon
Ola Rae Smallwood McGee Flint
B: 1929-11-18
D: 2019-08-04
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Smallwood McGee Flint, Ola Rae
Annie Mae Spencer
B: 1943-03-21
D: 2019-08-04
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Spencer, Annie Mae
Arthur Williams
B: 1933-02-08
D: 2019-07-31
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Williams, Arthur
Clayton Weaver
D: 2019-07-25
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Weaver, Clayton
Janelle Burke
B: 1930-09-11
D: 2019-07-21
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Burke, Janelle
Carolyn Park
B: 1931-04-03
D: 2019-07-09
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Park, Carolyn
Rafael Torres Rodriguez
B: 1947-10-24
D: 2019-07-03
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Rodriguez, Rafael Torres
Susan Davis
B: 1948-07-27
D: 2019-07-02
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Davis, Susan
Bobra Ann Gentry
B: 1945-01-14
D: 2019-06-17
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Gentry, Bobra Ann
Letha Bailey
B: 1924-02-13
D: 2019-06-10
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Bailey, Letha
Ray Bush
B: 1945-06-13
D: 2019-06-03
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Bush, Ray
Markey Davis
B: 1942-10-05
D: 2019-06-02
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Davis, Markey
Phillip "Lynn" Lucius
B: 1971-02-01
D: 2019-05-21
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Lucius, Phillip "Lynn"

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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:

Miscellaneous Notes and Instructions:

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