Obituaries

Jo Richert
B: 1938-05-30
D: 2019-07-17
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Richert, Jo
Brandi Gregor
B: 1982-06-15
D: 2019-07-16
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Gregor, Brandi
Robert Winkler
B: 1954-08-03
D: 2019-07-15
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Winkler, Robert
Izek Anaya
B: 2007-02-05
D: 2019-07-13
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Anaya, Izek
Judith Farrow
B: 1940-03-02
D: 2019-07-13
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Farrow, Judith
Ana Manasco
B: 1936-12-10
D: 2019-07-10
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Manasco, Ana
Ayla Mendez
B: 2019-07-09
D: 2019-07-09
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Mendez, Ayla
Damien Velasquez
B: 1978-03-03
D: 2019-07-08
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Velasquez, Damien
Charles Ratliff
B: 1944-02-10
D: 2019-07-08
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Ratliff, Charles
Ray Luna
B: 1960-11-14
D: 2019-07-07
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Luna, Ray
Martin Gantert
B: 1962-07-20
D: 2019-07-07
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Gantert, Martin
Judy Carson
B: 1942-02-28
D: 2019-07-06
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Carson, Judy
Sandra Dillon
B: 1961-10-06
D: 2019-07-06
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Dillon, Sandra
Annie Walton
B: 1933-08-14
D: 2019-07-05
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Walton, Annie
Princess D'or
B: 1942-03-08
D: 2019-07-03
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D'or, Princess
Linda Davis
B: 1949-03-12
D: 2019-07-01
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Davis, Linda
Juanita Simon
B: 1939-03-16
D: 2019-07-01
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Simon, Juanita
James Larkin
B: 1932-07-09
D: 2019-07-01
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Larkin, James
Mona Lesko
B: 1926-12-18
D: 2019-06-30
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Lesko, Mona
Ernest Castillo
B: 1919-09-07
D: 2019-06-30
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Castillo, Ernest
Della Arana
B: 1929-11-01
D: 2019-06-30
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Arana, Della

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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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