Obituaries

Jose Garcia
B: 1948-04-15
D: 2019-01-22
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Garcia, Jose
Sharon Percha
B: 1945-03-03
D: 2019-01-21
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Percha, Sharon
Adolfo Mendoza Espino
B: 1940-08-06
D: 2019-01-17
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Mendoza Espino, Adolfo
Robert Power
B: 1936-10-13
D: 2019-01-16
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Power, Robert
Daniel Ramirez
B: 1961-05-07
D: 2019-01-13
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Ramirez, Daniel
Fred Laureta
B: 1943-05-09
D: 2019-01-12
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Laureta, Fred
Betty Jo Hamby
B: 1929-03-22
D: 2019-01-12
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Hamby, Betty Jo
Cynthia Robison
B: 1941-07-13
D: 2019-01-12
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Robison, Cynthia
Deborah Dove
B: 1956-04-22
D: 2019-01-11
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Dove, Deborah
Elizabeth Hauer
B: 1945-08-12
D: 2019-01-10
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Hauer, Elizabeth
Luz Andazola
B: 1939-11-24
D: 2019-01-09
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Andazola, Luz
Ronald Armistead
B: 1933-10-12
D: 2019-01-08
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Armistead, Ronald
Alfred Lopez
B: 1945-07-17
D: 2019-01-06
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Lopez, Alfred
Joe Baca
B: 1953-07-28
D: 2019-01-05
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Baca, Joe
Ramona Montoya
B: 1926-09-14
D: 2019-01-05
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Montoya, Ramona
Michael Correll
B: 1973-08-04
D: 2019-01-05
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Correll, Michael
Laverne Billy
B: 1962-03-30
D: 2019-01-03
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Billy, Laverne
Lucille Moyers Hodge
B: 1948-01-14
D: 2019-01-03
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Moyers Hodge, Lucille
Andrellita Coca
B: 1924-03-13
D: 2019-01-03
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Coca, Andrellita
Rubin Irving
B: 1921-02-07
D: 2019-01-02
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Irving, Rubin
Raymond Ruiz
B: 1983-07-19
D: 2019-01-02
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Ruiz, Raymond

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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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