Obituaries

Roberto Brito
D: 2018-06-16
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Brito, Roberto
Ramon Jaffe
B: 1969-12-02
D: 2018-06-14
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Jaffe, Ramon
Raymond Sabin
B: 1965-01-11
D: 2018-06-07
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Sabin, Raymond
John Shackelford
B: 1931-07-27
D: 2018-06-04
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Shackelford, John
James Knox
B: 1935-11-15
D: 2018-06-03
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Knox, James
Robert Cleveland
B: 1941-10-13
D: 2018-05-25
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Cleveland, Robert
Brandon Benson
D: 2018-05-25
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Benson, Brandon
Robert Peterson
B: 1962-05-14
D: 2018-05-23
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Peterson, Robert
Rolland Rimar
B: 1933-11-28
D: 2018-05-20
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Rimar, Rolland
Kenneth Thiessen
B: 1935-07-20
D: 2018-05-17
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Thiessen, Kenneth
Stanley Nelson
B: 1922-08-09
D: 2018-05-16
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Nelson, Stanley
Alton Heathman
B: 1939-03-13
D: 2018-05-15
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Heathman, Alton
Jacqueline Schmidt
B: 1939-09-08
D: 2018-05-15
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Schmidt, Jacqueline
Rex Glover
B: 1939-05-13
D: 2018-05-14
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Glover, Rex
Leola Pettes
B: 1918-06-04
D: 2018-05-13
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Pettes, Leola
Juan Martinez
B: 1930-09-26
D: 2018-05-13
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Martinez, Juan
Sanford Schemnitz
B: 1930-03-10
D: 2018-05-11
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Schemnitz, Sanford
Jaime Reyes
B: 1945-04-08
D: 2018-05-09
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Reyes, Jaime
Betty Diven
D: 2018-05-08
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Diven, Betty
Nazario Martinez
B: 1952-12-13
D: 2018-05-08
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Martinez, Nazario
Kyler Bachman
B: 1995-08-16
D: 2018-05-08
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Bachman, Kyler

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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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