Obituaries

Fairy Stephens
D: 2018-04-06
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Stephens, Fairy
Earl Southerland
B: 1933-08-25
D: 2018-04-03
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Southerland, Earl
Doris Wolff
D: 2018-03-31
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Wolff, Doris
Walter Munger
B: 1949-12-13
D: 2018-03-31
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Munger, Walter
Shirley Watkins
D: 2018-03-26
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Watkins, Shirley
James Gatewood
B: 1936-07-10
D: 2018-03-26
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Gatewood, James
Jodie Robinson
B: 1940-10-23
D: 2018-03-23
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Robinson, Jodie
Phyllis Dowell
B: 1940-01-29
D: 2018-03-20
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Dowell, Phyllis
Eric Sheriden
B: 1975-04-25
D: 2018-03-17
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Sheriden, Eric
Brenda Lambeth
D: 2018-03-16
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Lambeth, Brenda
Toby Stripling
B: 1976-08-12
D: 2018-03-09
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Stripling, Toby
Walter McAvaney
B: 1944-10-27
D: 2018-03-04
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McAvaney, Walter
Hazel Sullivan
B: 1934-09-08
D: 2018-02-28
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Sullivan, Hazel
Ruby Sheets
B: 1937-01-04
D: 2018-02-19
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Sheets, Ruby
James Bradley
B: 1930-05-11
D: 2018-02-14
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Bradley, James
Eugene Childress
B: 1939-11-28
D: 2018-02-08
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Childress, Eugene
John Myers
B: 1944-01-28
D: 2018-02-03
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Myers, John
Conward Bonds
B: 1946-11-18
D: 2018-02-02
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Bonds, Conward
David Martin
B: 1944-04-21
D: 2018-01-30
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Martin, David
Aubrey Boone
B: 1944-05-08
D: 2018-01-26
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Boone, Aubrey
WIllie Bradley
B: 1932-06-02
D: 2018-01-24
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Bradley, WIllie

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218 Hwy 65 B
P.O. Box 1399
CLINTON, AR 72031
Phone: 501-745-6791
Fax: 501-745-6792

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I. Biographical Information
Full Name:
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 You In Death            
Your 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:
         

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