This form allows one to record all necessary information including death certificate information, funeral wishes, and obituary information. Upon completion of the form please feel free to give us a call.

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Ulysses D. Miller Funeral Service, Inc.
"We Are the Voice of Comfort In Your Hour of Grief"
485 Poors Ford Road Rutherfordton, NC 28139 Ph: 828-287-3800 Fax: 828-287-3777
Toll-Free: 877-287-3844 site by: