Obituaries

Beatrice Barela
B: 1940-04-04
D: 2018-11-08
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Barela, Beatrice
David Moya
B: 1994-07-23
D: 2018-11-07
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Moya, David
Joseph Gallegos
B: 1945-09-27
D: 2018-11-04
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Gallegos, Joseph
Joseph Baca
B: 1966-10-23
D: 2018-10-31
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Baca, Joseph
David Young
B: 1969-01-24
D: 2018-10-30
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Young, David
Hector Machado
B: 1933-02-14
D: 2018-10-29
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Machado, Hector
Michael Ramsey
B: 1962-05-11
D: 2018-10-28
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Ramsey, Michael
Jasmine Mendoza
B: 1997-09-01
D: 2018-10-27
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Mendoza, Jasmine
Herman Garley
B: 1952-02-22
D: 2018-10-27
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Garley, Herman
Benny Rael
B: 1947-10-01
D: 2018-10-26
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Rael, Benny
Thomas Bunker
B: 1950-04-21
D: 2018-10-24
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Bunker, Thomas
Alan Brantley
B: 1967-01-04
D: 2018-10-23
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Brantley, Alan
Rogelio Bustillos Vargas
B: 1957-09-13
D: 2018-10-22
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Bustillos Vargas, Rogelio
Matilde Gomez
B: 1932-07-24
D: 2018-10-21
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Gomez, Matilde
Anthony Lopez
B: 1997-11-03
D: 2018-10-20
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Lopez, Anthony
David Lopez
B: 1994-11-10
D: 2018-10-20
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Lopez, David
Kyla Kirk
B: 1968-12-14
D: 2018-10-19
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Kirk, Kyla
Adam Padilla
B: 1986-03-22
D: 2018-10-19
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Padilla, Adam
Sam Campbell
B: 1939-04-16
D: 2018-10-18
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Campbell, Sam
Pauline Jewett
B: 1934-07-01
D: 2018-10-16
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Jewett, Pauline
Eddie Barger
B: 1937-01-18
D: 2018-10-15
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Barger, Eddie

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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:

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