Obituaries

Vernon Chapman
B: 1934-12-16
D: 2017-10-19
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Chapman, Vernon
Tom Phillips
B: 1935-09-04
D: 2017-10-19
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Phillips, Tom
Richard Stone
B: 1945-04-05
D: 2017-10-17
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Stone, Richard
Edna Allman
B: 1938-09-28
D: 2017-10-17
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Allman, Edna
Walter Smith
B: 1930-06-12
D: 2017-10-17
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Smith, Walter
Mark Jacob
B: 1959-10-12
D: 2017-10-17
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Jacob, Mark
Audrey Lunsford-Ray
B: 1927-04-22
D: 2017-10-14
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Lunsford-Ray, Audrey
Lou Cody
B: 1934-08-29
D: 2017-10-12
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Cody, Lou
John Fluty
B: 1936-07-08
D: 2017-10-09
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Fluty, John
Helen Ward
B: 1926-09-20
D: 2017-10-06
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Ward, Helen
Faye Lloyd
B: 1935-05-19
D: 2017-10-06
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Lloyd, Faye
Richard Deweese
B: 1939-08-10
D: 2017-10-06
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Deweese, Richard
Blanche Norton
B: 1934-12-25
D: 2017-10-05
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Norton, Blanche
Annie Shores
B: 1921-08-05
D: 2017-10-05
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Shores, Annie
Doris Honeycutt
B: 1931-04-12
D: 2017-10-05
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Honeycutt, Doris
Betty Ricker
B: 1955-08-17
D: 2017-10-05
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Ricker, Betty
Larry Gardner
B: 1960-06-22
D: 2017-10-04
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Gardner, Larry
Russell Rogers
B: 1939-05-02
D: 2017-09-30
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Rogers, Russell
Robert Chapman
B: 1926-08-03
D: 2017-09-27
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Chapman, Robert
George Brown
B: 1923-01-23
D: 2017-09-23
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Brown, George
Jennie Smith
B: 1925-08-15
D: 2017-09-22
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Smith, Jennie

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7626 Highway 213
PO Box 27
Mars Hill, NC 28754
Phone: 828-680-9963
Fax: 828-680-9965

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Immediate Need

If you have immediate need of our services, please feel free to use the form below to provide us as much information as you have available to save time at the arrangement conference. We understand this is a difficult time and want to make things as easy as possible. Please feel free to call us anytime at 828-680-9963 or email us at brfs@blueridgefuneralservice.org and we will be happy to assist you.

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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:
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:

Please select one of the options below:

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Please place my information on file


 

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