Obituaries

Juanita Williams
B: 1932-03-26
D: 2019-02-15
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Williams, Juanita
Jo Anne Nelson
B: 1934-11-02
D: 2019-02-12
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Nelson, Jo Anne
Harold Taylor
B: 1959-06-21
D: 2019-02-10
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Taylor, Harold
Rachel Wilhelm
B: 1917-09-06
D: 2019-02-10
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Wilhelm, Rachel
Charles "Chuck" Bibby
B: 1930-10-15
D: 2019-02-08
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Bibby, Charles "Chuck"
Helen Whitley
B: 1936-02-18
D: 2019-02-05
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Whitley, Helen
Richard McHone
B: 1941-11-25
D: 2019-02-03
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McHone, Richard
Lois Shaw
B: 1970-08-26
D: 2019-02-02
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Shaw, Lois
Kathleen Dorn
B: 1944-04-04
D: 2019-01-31
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Dorn, Kathleen
Lewis Barrier
B: 1928-03-01
D: 2019-01-30
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Barrier, Lewis
Earle Aube
B: 1928-02-01
D: 2019-01-21
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Aube, Earle
Cathy Clontz
B: 1970-09-09
D: 2019-01-20
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Clontz, Cathy
Curtis Fink
B: 1957-03-16
D: 2019-01-19
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Fink, Curtis
Merri Lambert
B: 1967-03-16
D: 2019-01-18
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Lambert, Merri
William Denny
B: 1927-09-24
D: 2019-01-17
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Denny, William
Lillie "Louise" Lowder
B: 1930-12-13
D: 2019-01-16
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Lowder, Lillie "Louise"
James Brewer
B: 1951-10-29
D: 2019-01-13
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Brewer, James
Richard Payne
B: 1950-08-25
D: 2019-01-12
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Payne, Richard
Bette Baker
B: 1928-06-11
D: 2019-01-10
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Baker, Bette
Socorro Adame
B: 1948-01-07
D: 2019-01-10
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Adame, Socorro
Robert Carriker
B: 1932-05-20
D: 2019-01-10
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Carriker, Robert

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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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Pre-Arrangement

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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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