Obituaries

Nellie Bell
B: 1933-06-05
D: 2018-02-21
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Bell, Nellie
Patricia Cooper
B: 1938-09-01
D: 2018-02-18
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Cooper, Patricia
Varna Coleman
B: 1925-12-27
D: 2018-02-17
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Coleman, Varna
Sherrie Willerford
B: 1956-01-08
D: 2018-02-16
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Willerford, Sherrie
Polly Casaus
B: 1938-12-15
D: 2018-02-12
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Casaus, Polly
Robert Knisley
B: 1948-03-04
D: 2018-02-09
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Knisley, Robert
Glenda Salazar
B: 1958-03-11
D: 2018-02-06
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Salazar, Glenda
Bernice Laughlin
B: 1925-04-07
D: 2018-02-04
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Laughlin, Bernice
Illa Vaughn
B: 1937-08-29
D: 2018-02-04
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Vaughn, Illa
Michelle Billingham
B: 1981-01-28
D: 2018-02-03
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Billingham, Michelle
Leona Richardson
B: 1921-06-08
D: 2018-02-02
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Richardson, Leona
Eddie Garcia
B: 1960-06-04
D: 2018-02-02
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Garcia, Eddie
Darnell Daniels
B: 1990-01-08
D: 2018-02-01
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Daniels, Darnell
Sam Peshlakai
B: 1937-08-15
D: 2018-01-26
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Peshlakai, Sam
Charles Martinez
B: 1974-12-05
D: 2018-01-26
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Martinez, Charles
Helen Elliott
B: 1923-02-14
D: 2018-01-25
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Elliott, Helen
Michael Trujillo
B: 1985-01-20
D: 2018-01-23
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Trujillo, Michael
James Berry
B: 1946-10-30
D: 2018-01-22
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Berry, James
Charles Hill
B: 1930-12-31
D: 2018-01-21
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Hill, Charles
Beth Jacquez
B: 1919-04-27
D: 2018-01-20
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Jacquez, Beth
Robert "Bob" Bliss
B: 1933-12-10
D: 2018-01-19
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Bliss, Robert "Bob"

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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:

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