Obituaries

Viola Williams
B: 1961-10-01
D: 2021-04-16
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Williams, Viola
Thomas VanLandingham
B: 1965-07-02
D: 2021-04-14
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VanLandingham, Thomas
Spencer Savage
B: 1936-02-06
D: 2021-04-10
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Savage, Spencer
Leslie Lankford
B: 1973-01-16
D: 2021-04-09
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Lankford, Leslie
Emma Hicks
B: 1927-07-25
D: 2021-04-05
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Hicks, Emma
Mary Allen
B: 1940-08-27
D: 2021-04-02
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Allen, Mary
Josephine Bagwell
B: 1932-05-27
D: 2021-04-01
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Bagwell, Josephine
Calvin Strand
B: 1946-11-05
D: 2021-03-31
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Strand, Calvin
Diane Bragg
B: 1943-04-17
D: 2021-03-31
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Bragg, Diane
Frederick Young
B: 1952-10-28
D: 2021-03-31
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Young, Frederick
Gloria Knox
B: 1950-12-08
D: 2021-03-30
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Knox, Gloria
Mary Justis
B: 1922-09-14
D: 2021-03-21
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Justis, Mary
Minister Tyler Bivens
B: 1995-02-23
D: 2021-03-20
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Bivens, Minister Tyler
Bertha Giddens
B: 1932-10-26
D: 2021-03-20
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Giddens, Bertha
Pastor Marlene Brown
B: 1949-10-27
D: 2021-03-17
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Brown, Pastor Marlene
Carletta Greenlee
B: 1959-12-21
D: 2021-03-13
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Greenlee, Carletta
Claudine Smith
B: 1963-02-24
D: 2021-03-12
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Smith, Claudine
Theodore Graves
B: 1941-10-15
D: 2021-03-08
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Graves, Theodore
Rahmeer Ballard
B: 2000-09-02
D: 2021-03-08
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Ballard, Rahmeer
Mary Bundick
B: 1927-11-14
D: 2021-03-01
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Bundick, Mary
Berneda Nock
B: 1950-03-07
D: 2021-02-23
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Nock, Berneda

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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)
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:
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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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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:
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The cemetery property is in the name of:

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