Obituaries

Judy Gentry
B: 1951-11-05
D: 2017-11-11
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Gentry, Judy
Randell Asbury
B: 1958-05-08
D: 2017-10-30
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Asbury, Randell
Lilly Carpenter
B: 1930-08-26
D: 2017-10-30
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Carpenter , Lilly
Gerta Drake
B: 1930-09-12
D: 2017-10-29
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Drake, Gerta
John Tolley
B: 1939-11-12
D: 2017-10-27
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Tolley, John
Wanda Fisher
B: 1939-11-13
D: 2017-10-24
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Fisher, Wanda
Luther Curtis
B: 1937-08-28
D: 2017-10-19
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Curtis, Luther
Rex Jones
B: 1922-06-02
D: 2017-10-10
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Jones, Rex
Martha Lyons
B: 1941-03-04
D: 2017-10-08
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Lyons, Martha
Robin Lanham
B: 1968-10-26
D: 2017-10-08
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Lanham, Robin
Robin Lanham
B: 1968-10-26
D: 2017-10-08
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Lanham, Robin
Ava Reed
B: 1925-06-10
D: 2017-10-07
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Reed, Ava
Benjamin Wolf
B: 2017-09-21
D: 2017-10-04
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Wolf, Benjamin
Willard Elmore
B: 1951-03-28
D: 2017-10-04
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Elmore, Willard
James Shinn
B: 1923-03-12
D: 2017-10-01
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Shinn, James
Carolyn Bailes
B: 1954-08-19
D: 2017-10-01
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Bailes, Carolyn
Vivian Newhouse
B: 1928-12-12
D: 2017-09-19
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Newhouse, Vivian
James Harmon
B: 1940-10-24
D: 2017-09-17
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Harmon, James
Arthur Richardson
B: 1953-11-24
D: 2017-09-16
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Richardson, Arthur
Marjorie Campbell
B: 1929-04-25
D: 2017-09-13
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Campbell, Marjorie
David Reed
B: 1958-01-08
D: 2017-09-10
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Reed, David

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6837 Sissonville Drive
Sissonville, WV 25320
Phone: (304) 984-3346
Fax: (304) 984-9168

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Long and Fisher Funeral Home, please notify us first by phone at (304) 984-3346.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
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/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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