Obituaries

Pansy Walpole
B: 1915-01-27
D: 2019-11-20
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Walpole, Pansy
Gerald Beasley
B: 1941-10-03
D: 2019-11-17
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Beasley, Gerald
Francis King
B: 1937-04-05
D: 2019-11-16
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King, Francis
Frances Christopher
B: 1948-09-12
D: 2019-11-13
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Christopher, Frances
Eugene Hurtado
B: 1943-09-01
D: 2019-11-13
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Hurtado, Eugene
Jose Aguilar
B: 1938-10-19
D: 2019-11-13
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Aguilar, Jose
M Spiers
B: 1934-01-03
D: 2019-11-13
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Spiers, M
Wayne Dague
B: 1965-10-06
D: 2019-11-12
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Dague, Wayne
Joseph Romero
B: 1939-02-25
D: 2019-11-08
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Romero, Joseph
Francesca Nilvo
B: 1935-09-01
D: 2019-11-03
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Nilvo, Francesca
Mariano Chavez
B: 1926-06-20
D: 2019-11-03
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Chavez, Mariano
Walter Shoemaker
B: 1929-10-03
D: 2019-11-03
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Shoemaker, Walter
Reyna Amador Valdez
B: 2005-01-06
D: 2019-11-03
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Amador Valdez, Reyna
Melba Derossett
B: 1930-04-14
D: 2019-11-01
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Derossett, Melba
Nona Bratcher
B: 1944-02-20
D: 2019-11-01
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Bratcher, Nona
Mario Molina
B: 1984-03-01
D: 2019-10-31
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Molina, Mario
Angelica Millwee
B: 1932-12-10
D: 2019-10-31
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Millwee, Angelica
Suzette Cordova
B: 1984-04-08
D: 2019-10-31
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Cordova, Suzette
Donald Julien
B: 1956-01-16
D: 2019-10-30
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Julien, Donald
Mark Larranaga
B: 1970-04-03
D: 2019-10-30
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Larranaga, Mark
Donald Setliff
B: 1941-03-20
D: 2019-10-30
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Setliff, Donald

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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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