Obituaries

Peggy Sanders
B: 1945-09-04
D: 2025-06-24
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Sanders, Peggy
Rebecca Shropshire
B: 1940-05-25
D: 2025-06-23
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Shropshire, Rebecca
Betty Womersley
B: 1925-04-20
D: 2025-06-22
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Womersley, Betty
Dwight Stowe
B: 1925-09-21
D: 2025-06-10
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Stowe, Dwight
Barbara Reynolds
B: 1942-09-11
D: 2025-06-07
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Reynolds, Barbara
Anthony Porter
B: 1957-09-13
D: 2025-06-07
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Porter, Anthony
Pauline Rawles
B: 1956-12-19
D: 2025-06-02
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Rawles, Pauline
Stanley O'Bier
B: 1945-12-05
D: 2025-06-02
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O'Bier, Stanley
Betty Abbott
B: 1936-04-16
D: 2025-06-01
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Abbott, Betty
Nellie Adams
B: 1928-11-04
D: 2025-05-30
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Adams, Nellie
Ella Louise Evans
B: 1942-08-18
D: 2025-05-30
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Evans, Ella Louise
Peggy Hazelwood
B: 1940-10-10
D: 2025-05-26
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Hazelwood, Peggy
Donald Sellars
B: 1945-12-06
D: 2025-05-26
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Sellars, Donald
Henry Millward
B: 1956-09-16
D: 2025-05-25
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Millward, Henry
Lila Davis
B: 1946-08-04
D: 2025-05-22
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Davis, Lila
Donald Gotthardt
B: 1936-10-24
D: 2025-05-22
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Gotthardt, Donald
Danny Rice
B: 1947-12-30
D: 2025-05-21
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Rice, Danny
Carolyn King
B: 1943-12-15
D: 2025-05-15
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King, Carolyn
Frances Packett
B: 1939-01-17
D: 2025-05-12
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Packett, Frances
Margaret Self
B: 1935-05-04
D: 2025-05-12
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Self, Margaret
Wayne Lawson
B: 1944-10-13
D: 2025-05-12
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Lawson, Wayne

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

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Immediate Need


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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Please place my information on file