Obituaries

Geneva Turner
B: 1929-09-15
D: 2018-04-17
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Turner, Geneva
Emerson Crippen
B: 1944-04-02
D: 2018-04-11
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Crippen, Emerson
Lisa Ames
B: 1972-10-22
D: 2018-03-30
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Ames, Lisa
JoAnn Reddick
B: 1958-02-22
D: 2018-03-30
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Reddick, JoAnn
Elroy Davis
B: 1957-04-09
D: 2018-03-28
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Davis, Elroy
Clarice Tankard
B: 1930-04-14
D: 2018-03-27
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Tankard, Clarice
Bra'Monie Ames
B: 2018-01-19
D: 2018-03-19
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Ames, Bra'Monie
Vernon Fisher
B: 1936-03-12
D: 2018-03-18
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Fisher, Vernon
Alfred Dennis
B: 1946-08-30
D: 2018-03-17
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Dennis, Alfred
William Schoolfield
B: 1942-12-10
D: 2018-03-12
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Schoolfield, William
Joyce Johnson
B: 1955-11-06
D: 2018-03-12
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Johnson, Joyce
Tremaine Giddens
B: 1977-06-26
D: 2018-03-09
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Giddens, Tremaine
Josephine Johnson
B: 1938-07-09
D: 2018-03-09
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Johnson, Josephine
Lenora Gladden
B: 1935-06-01
D: 2018-03-01
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Gladden, Lenora
Kenny Simpkins
B: 1984-09-24
D: 2018-02-21
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Simpkins, Kenny
Lillie Cropper
B: 1926-12-19
D: 2018-02-13
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Cropper, Lillie
Calvin Tull
B: 1935-02-25
D: 2018-02-09
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Tull, Calvin
Lena Miller
B: 1930-04-26
D: 2018-02-09
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Miller, Lena
George Beasley
B: 1941-01-23
D: 2018-02-09
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Beasley, George
Missouri Colbourn
B: 1932-01-16
D: 2018-02-08
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Colbourn, Missouri
Polly Fosque
B: 1920-06-26
D: 2018-02-07
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Fosque, Polly

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PO Box 176
24497 Mary N. Smith Rd.
Accomac, VA 23301
Phone: 757-787-2504
Fax: 757-787-5606

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
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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:
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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:
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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
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Jewelry:
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Outer Container Preference: (for ground burial)
Cemetery Name:
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The cemetery property is in the name of:

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