Obituaries

Hermalee Conley
B: 1924-08-05
D: 2018-05-21
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Conley, Hermalee
Larry Walters
B: 1941-02-06
D: 2018-05-13
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Walters, Larry
Edna Butcher
B: 1927-03-20
D: 2018-05-10
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Butcher, Edna
Crystal Sparks
B: 1981-09-09
D: 2018-05-06
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Sparks, Crystal
Phyllis Hall
B: 1939-01-20
D: 2018-05-04
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Hall, Phyllis
OMA BROWN
B: 1942-03-07
D: 2018-04-30
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BROWN, OMA
Rosa Meek
B: 1938-09-06
D: 2018-04-25
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Meek, Rosa
Joyce Wilkerson
B: 1949-08-14
D: 2018-04-24
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Wilkerson, Joyce
GLADYS PRESTON
B: 1936-03-10
D: 2018-04-15
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PRESTON, GLADYS
Mary Roe
B: 1992-07-18
D: 2018-04-14
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Roe, Mary
WYMER LEE
B: 1960-01-21
D: 2018-04-07
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LEE, WYMER
LEE FRANKLIN
B: 1943-04-26
D: 2018-04-06
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FRANKLIN, LEE
Maranda Newsome
B: 1991-11-05
D: 2018-04-03
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Newsome, Maranda
David Howard
B: 1958-06-27
D: 2018-03-31
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Howard, David
Earl Perkins
B: 1935-01-05
D: 2018-03-29
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Perkins, Earl
Mary Hewlett
B: 1931-12-04
D: 2018-03-27
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Hewlett, Mary
Gary Williams
B: 1951-05-10
D: 2018-03-27
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Williams, Gary
CHARLOTTE COLVIN
B: 1948-04-04
D: 2018-03-23
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COLVIN, CHARLOTTE
Leondus Taylor
B: 1938-03-24
D: 2018-03-21
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Taylor, Leondus
PEGGY RICE
B: 1949-06-30
D: 2018-03-16
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RICE, PEGGY
SAMUEL STANIFORD
B: 1927-02-22
D: 2018-03-16
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STANIFORD, SAMUEL

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136 Main St.
Paintsville, KY 41240
Phone: (606) 789-4212 ‬
Fax: (606) 789-1063

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
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Zip Code:
Telephone Number: (xxx-xxx-xxxx)
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Date of Birth: (month/day/year)
City of Birth:
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Highest Education Level:
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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Mother's Name:
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Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
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Company Name:
Church Membership:
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II. Military Record

Veteran:
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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:
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