Obituaries

Jose Lujan
B: 1944-10-25
D: 2019-03-18
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Lujan, Jose
Richard Covarrubia
B: 1949-01-26
D: 2019-03-17
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Covarrubia, Richard
Charles McGinty
B: 1930-10-05
D: 2019-03-17
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McGinty, Charles
James Culbreth
B: 1936-05-12
D: 2019-03-15
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Culbreth, James
Kelly Counter
B: 1926-03-23
D: 2019-03-14
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Counter, Kelly
William Landis
B: 1933-03-22
D: 2019-03-14
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Landis, William
Max Romero
B: 1945-01-23
D: 2019-03-12
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Romero, Max
Joella Tadian
B: 1933-10-18
D: 2019-03-10
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Tadian, Joella
Gayle Thompson
B: 1953-05-28
D: 2019-03-06
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Thompson, Gayle
Jonathan Mowrer
B: 1952-06-16
D: 2019-03-05
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Mowrer, Jonathan
Isabel Sanchez
B: 1933-07-08
D: 2019-03-04
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Sanchez, Isabel
Virgil Kohlhepp
B: 1960-09-16
D: 2019-03-03
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Kohlhepp, Virgil
Conrado Armijo
B: 1944-06-01
D: 2019-03-02
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Armijo, Conrado
Paolo Badamo
B: 1923-08-30
D: 2019-02-27
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Badamo, Paolo
Thomas Garcia
B: 1990-03-24
D: 2019-02-27
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Garcia, Thomas
Roy Munoz Ibarra
B: 1994-11-03
D: 2019-02-25
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Munoz Ibarra, Roy
Luis Silva
B: 1923-06-29
D: 2019-02-24
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Silva, Luis
Connie Bush
B: 1952-06-13
D: 2019-02-23
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Bush, Connie
Carl Smith
B: 1935-02-17
D: 2019-02-21
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Smith, Carl
George Tapia
B: 1942-10-21
D: 2019-02-21
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Tapia, George
Valerie Shea
B: 1955-12-31
D: 2019-02-21
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Shea, Valerie

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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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