Obituaries

Karen MacDonald
B: 1938-11-11
D: 2019-09-19
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MacDonald, Karen
Perry Coen
B: 1940-09-19
D: 2019-09-18
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Coen, Perry
Michael Buttram
B: 1974-02-23
D: 2019-09-17
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Buttram, Michael
Daniel Runion
B: 1947-05-24
D: 2019-09-15
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Runion, Daniel
Charlene Bowman
B: 1944-08-14
D: 2019-09-14
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Bowman, Charlene
Robert Madrid
B: 1989-07-03
D: 2019-09-10
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Madrid, Robert
Susan Whalen
B: 1948-11-30
D: 2019-09-07
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Whalen, Susan
Anthony Moreno Epiceno
B: 1993-07-23
D: 2019-09-06
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Moreno Epiceno, Anthony
Patricia Keeney
B: 1949-12-09
D: 2019-09-05
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Keeney, Patricia
William Eschberger
B: 1943-01-21
D: 2019-09-04
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Eschberger, William
Geoffrey Johnson
B: 1953-12-17
D: 2019-09-03
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Johnson, Geoffrey
Phillip Aragon
B: 1962-08-08
D: 2019-09-03
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Aragon, Phillip
James McKee
B: 1943-09-05
D: 2019-09-02
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McKee, James
Jerry Walker
B: 1951-10-29
D: 2019-09-02
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Walker, Jerry
Annette Apodaca
B: 1965-01-04
D: 2019-09-02
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Apodaca, Annette
Loretta Lawson
B: 1939-11-06
D: 2019-09-01
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Lawson, Loretta
Charles Simmons
D: 2019-09-01
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Simmons, Charles
Gilbert Lopez
B: 1939-11-05
D: 2019-09-01
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Lopez, Gilbert
Alfred Harris
B: 1932-09-02
D: 2019-08-30
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Harris, Alfred
Robbie Kezele
B: 1944-04-17
D: 2019-08-30
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Kezele, Robbie
Christopher Glassman
B: 1973-08-07
D: 2019-08-28
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Glassman, Christopher

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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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