Obituaries

Emily Smith
B: 1943-04-10
D: 2024-02-28
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Smith, Emily
Katheryn Sullivan
B: 1926-03-29
D: 2024-02-25
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Sullivan, Katheryn
Sonya Dunaway
B: 1992-07-04
D: 2024-02-22
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Dunaway, Sonya
Mary Donovan
B: 1954-05-15
D: 2024-02-19
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Donovan, Mary
Richard Daiger
B: 1935-04-17
D: 2024-02-16
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Daiger, Richard
Misty Beauchamp
B: 1956-05-18
D: 2024-02-15
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Beauchamp, Misty
Mildred Self
B: 1941-06-19
D: 2024-02-14
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Self, Mildred
Hilton Hamblin
B: 1935-04-08
D: 2024-02-14
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Hamblin, Hilton
Charles Stevens
B: 1941-06-01
D: 2024-02-13
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Stevens, Charles
John Shropshire
B: 1941-11-14
D: 2024-02-09
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Shropshire, John
Glenda Lurba
B: 1960-07-14
D: 2024-02-08
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Lurba , Glenda
Raymond Brann
B: 1940-03-31
D: 2024-02-03
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Brann, Raymond
Crawford Reynolds
B: 1941-02-03
D: 2024-02-03
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Reynolds, Crawford
Joseph McCall
B: 1951-01-10
D: 2024-01-30
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McCall, Joseph
George Ripol
B: 1941-12-09
D: 2024-01-30
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Ripol, George
William Hall
B: 1943-11-09
D: 2024-01-28
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Hall, William
Stephen Cash
B: 1961-12-18
D: 2024-01-27
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Cash, Stephen
Roland Hughes
B: 1933-10-25
D: 2024-01-22
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Hughes, Roland
James Poates
B: 1944-08-24
D: 2024-01-21
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Poates, James
Bronwyn Congdon
B: 1965-06-20
D: 2024-01-20
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Congdon, Bronwyn
Larry Allison
B: 1950-11-07
D: 2024-01-19
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Allison, Larry

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10300 Richmond Road
Warsaw, VA 22572
Phone: 804-333-3770
Fax: 804-333-0079

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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:
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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:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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