Obituaries

Emanuel Drackert
B: 1946-10-18
D: 2020-04-03
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Drackert, Emanuel
Dennis Walker
B: 1931-07-25
D: 2020-04-03
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Walker, Dennis
Steven Martin
B: 1956-01-22
D: 2020-04-02
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Martin, Steven
Paula Miller
B: 1953-08-17
D: 2020-04-01
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Miller, Paula
Rey Pagarigan
B: 1972-08-04
D: 2020-03-28
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Pagarigan, Rey
Greg Mansfield
B: 1942-09-29
D: 2020-03-26
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Mansfield, Greg
Robert Orris
B: 1942-05-01
D: 2020-03-25
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Orris, Robert
Lynda Alhussiny
B: 1954-08-11
D: 2020-03-25
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Alhussiny, Lynda
Daniel Boles
B: 1952-06-14
D: 2020-03-25
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Boles, Daniel
Joe Lucero
B: 1974-03-23
D: 2020-03-21
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Lucero, Joe
Margaret Griego
B: 1952-12-10
D: 2020-03-21
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Griego, Margaret
Darlene Ostroski
B: 1947-08-06
D: 2020-03-20
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Ostroski, Darlene
Wilma Gifford
B: 1939-06-24
D: 2020-03-19
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Gifford, Wilma
Joseph Gutierrez
B: 1990-12-03
D: 2020-03-19
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Gutierrez, Joseph
Donna Foor
B: 1930-08-23
D: 2020-03-16
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Foor, Donna
James McGehee
B: 1962-11-06
D: 2020-03-15
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McGehee, James
Shirley Samayoa
B: 1970-01-22
D: 2020-03-12
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Samayoa, Shirley
Jose Gonzales
B: 1922-03-11
D: 2020-03-11
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Gonzales, Jose
Aletha Parker-Britt
B: 1969-04-02
D: 2020-03-10
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Parker-Britt, Aletha
Holly Fassler
B: 1964-02-04
D: 2020-03-10
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Fassler, Holly
Tommie Teeter
B: 1941-03-14
D: 2020-03-08
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Teeter, Tommie

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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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