Obituaries

Beth Perine
B: 1967-04-12
D: 2017-11-22
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Perine, Beth
Robert Lindgren
B: 1939-03-13
D: 2017-11-21
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Lindgren, Robert
Fidel Guerrero
B: 1936-05-05
D: 2017-11-20
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Guerrero, Fidel
Tony Romero
B: 1939-06-26
D: 2017-11-19
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Romero, Tony
Louis Stynen
B: 1938-12-12
D: 2017-11-19
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Stynen, Louis
Ila Kirby
B: 1925-07-24
D: 2017-11-19
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Kirby, Ila
Betty Davis
B: 1931-08-21
D: 2017-11-18
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Davis, Betty
Jack Keck
B: 1931-02-12
D: 2017-11-18
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Keck, Jack
Monica Gonzales
B: 1986-01-22
D: 2017-11-14
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Gonzales, Monica
Billy Gonzales
B: 1937-06-19
D: 2017-11-14
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Gonzales, Billy
Roland Belding
B: 1944-07-27
D: 2017-11-13
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Belding, Roland
Donald Walker
B: 1925-01-13
D: 2017-11-13
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Walker, Donald
George Smith
B: 1928-03-09
D: 2017-11-13
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Smith, George
Dolores Silva
B: 1934-02-17
D: 2017-11-12
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Silva, Dolores
Stephen Scalf
B: 1941-02-27
D: 2017-11-11
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Scalf, Stephen
Marsha Brookins
B: 1953-11-08
D: 2017-11-11
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Brookins, Marsha
Louis Chavez
B: 2017-07-27
D: 2017-11-09
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Chavez, Louis
Jerome Dorr
B: 1938-05-22
D: 2017-11-08
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Dorr, Jerome
Jimena Bodmer
B: 1971-05-26
D: 2017-11-08
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Bodmer, Jimena
Manuel Chavez
B: 1959-09-06
D: 2017-11-05
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Chavez, Manuel
Ruth Stanton
B: 1930-02-17
D: 2017-11-04
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Stanton, Ruth

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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:

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