Obituaries

Robert Brombacher
B: 1930-03-02
D: 2019-10-16
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Brombacher, Robert
Dr. David Burke
B: 1941-08-26
D: 2019-10-13
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Burke, Dr. David
James Tyner
B: 1940-04-20
D: 2019-10-11
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Tyner, James
Ora McCrary
B: 1926-03-17
D: 2019-10-09
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McCrary, Ora
Robin Lee
B: 1955-11-14
D: 2019-10-08
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Lee, Robin
Richard Flory
B: 1930-08-16
D: 2019-10-06
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Flory, Richard
Robert Cline
B: 1946-01-10
D: 2019-10-04
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Cline, Robert
Richard "Dick" Borsuk
B: 1934-10-13
D: 2019-10-01
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Borsuk, Richard "Dick"
Robert Hagy
B: 1980-08-23
D: 2019-09-28
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Hagy, Robert
Barbara Crowell
B: 1955-09-25
D: 2019-09-26
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Crowell, Barbara
Arnold Morton
B: 1938-08-08
D: 2019-09-25
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Morton, Arnold
Timothy "Tim" Bowers
B: 1961-12-20
D: 2019-09-24
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Bowers, Timothy "Tim"
Charles Lowrance
B: 1947-03-11
D: 2019-09-22
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Lowrance, Charles
Beth Talbert
B: 1932-11-05
D: 2019-09-17
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Talbert, Beth
Michael Garriott
B: 1958-01-07
D: 2019-09-16
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Garriott, Michael
Daniel Hocken
B: 1969-11-14
D: 2019-09-14
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Hocken, Daniel
William Haneline
B: 1943-06-05
D: 2019-09-14
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Haneline, William
Joyce Somers
B: 1940-08-25
D: 2019-09-10
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Somers, Joyce
Delores Harris
B: 1932-04-06
D: 2019-09-08
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Harris, Delores
Laura Thomas
B: 1961-12-03
D: 2019-09-06
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Thomas, Laura
Richard "Rich" White
B: 1946-08-20
D: 2019-09-06
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White, Richard "Rich"

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100 Branchview Drive NE
PO Box 344
Concord, NC 28025
Phone: 704-786-3168
Fax: 704-782-5766

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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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