Obituaries

Richard Gray
B: 1947-02-04
D: 2021-01-20
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Gray, Richard
Jerry Fox
B: 1942-09-02
D: 2021-01-14
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Fox, Jerry
Teresa Parker
B: 1953-07-23
D: 2021-01-07
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Parker, Teresa
Leonel "L.C." Vance
B: 1939-08-05
D: 2021-01-07
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Vance, Leonel "L.C."
Dianne Harmon
B: 1946-09-09
D: 2021-01-06
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Harmon, Dianne
James Magness
B: 1938-04-24
D: 2021-01-01
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Magness, James
Dock Gabbert
B: 1942-07-30
D: 2020-12-31
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Gabbert, Dock
Isom Sydney Wright
B: 1939-06-12
D: 2020-12-10
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Wright, Isom Sydney
William David Lee
B: 1954-03-29
D: 2020-12-08
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Lee, William David
Peggy Lewis
B: 1937-08-12
D: 2020-12-02
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Lewis, Peggy
Jeanette Parker
B: 1936-03-05
D: 2020-11-30
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Parker, Jeanette
Quay Wolfe
B: 1945-05-31
D: 2020-11-18
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Wolfe, Quay
Rose Chandler
B: 1924-11-16
D: 2020-11-13
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Chandler, Rose
Sammie Hardin
B: 1927-09-13
D: 2020-11-10
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Hardin, Sammie
Doris Rogers
B: 1940-07-09
D: 2020-11-09
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Rogers, Doris
Leslie Gene Goodson
B: 1955-10-01
D: 2020-11-02
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Goodson , Leslie Gene
Ellen Lee
B: 1942-09-30
D: 2020-10-30
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Lee, Ellen
Peggy Wood Whitten
B: 1934-03-11
D: 2020-10-20
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Whitten , Peggy Wood
Loree Rice
B: 1930-07-27
D: 2020-10-16
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Rice, Loree
Bill Davis
B: 1942-09-29
D: 2020-10-10
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Davis, Bill
Lucille Smith Thacker
B: 1934-08-17
D: 2020-10-08
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Thacker, Lucille Smith

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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:
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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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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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