Obituaries

Jessie Mae Howell
B: 1935-03-03
D: 2019-01-17
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Howell, Jessie Mae
Georgia Mae Conner
B: 1935-02-05
D: 2019-01-08
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Conner, Georgia Mae
James Laughlin
B: 1948-06-21
D: 2019-01-04
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Laughlin, James
Randy Lafayette
B: 1970-07-17
D: 2019-01-01
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Lafayette, Randy
Benny Walls
B: 1948-10-19
D: 2018-12-22
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Walls, Benny
Brooks Kelley
B: 1949-04-20
D: 2018-12-20
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Kelley, Brooks
Ava Reeves
B: 1913-04-12
D: 2018-12-15
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Reeves, Ava
John Henry "ACE" Cannon
B: 1934-05-05
D: 2018-12-06
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Cannon, John Henry "ACE"
Helen McKibben
B: 1922-04-24
D: 2018-12-05
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McKibben, Helen
Rupert Lunceford
B: 1925-06-06
D: 2018-11-30
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Lunceford, Rupert
Charlene Callaway
B: 1930-05-01
D: 2018-11-30
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Callaway, Charlene
Joseph Boyed "Joe" Walker
B: 1954-07-09
D: 2018-11-29
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Walker, Joseph Boyed "Joe"
Lester Treadwell
B: 1942-09-04
D: 2018-11-24
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Treadwell, Lester
Timothy "Tim" Goodwin
B: 1954-11-15
D: 2018-11-20
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Goodwin, Timothy "Tim"
Mary Helen Wall
B: 1926-02-19
D: 2018-11-20
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Wall, Mary Helen
Martha Guinn
B: 1928-12-23
D: 2018-11-18
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Guinn, Martha
Sandra Joyce Jones
B: 1944-07-29
D: 2018-11-13
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Jones, Sandra Joyce
Walterrene Barton
B: 1920-08-29
D: 2018-11-07
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Barton, Walterrene
Debora Baker
B: 1965-05-08
D: 2018-10-24
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Baker, Debora
Robert "Rob" Neese
B: 1959-04-24
D: 2018-10-23
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Neese, Robert "Rob"
Kerry Laird
B: 1973-10-28
D: 2018-10-19
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Laird, Kerry

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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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