Obituaries

Elizabeth Kelk
B: 1942-07-26
D: 2019-04-17
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Kelk, Elizabeth
Raul Hita
B: 1936-10-03
D: 2019-04-16
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Hita, Raul
Mary Espinosa
D: 2019-04-14
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Espinosa, Mary
Phyllis Segura
B: 1936-02-11
D: 2019-04-14
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Segura, Phyllis
Dolores Rivera
B: 1933-06-13
D: 2019-04-11
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Rivera, Dolores
Betty Ferm
D: 2019-04-11
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Ferm, Betty
Berta Holden
B: 1937-04-15
D: 2019-04-11
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Holden, Berta
Raymond Willem
D: 2019-04-11
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Willem, Raymond
Edward Batoosingh
B: 1936-02-17
D: 2019-04-10
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Batoosingh, Edward
John Niemann
B: 1930-07-09
D: 2019-04-08
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Niemann, John
Samuel Flores
B: 1929-01-04
D: 2019-04-08
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Flores, Samuel
Terry Chacon
B: 1951-05-29
D: 2019-04-06
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Chacon, Terry
Nancy Walton
D: 2019-04-06
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Walton, Nancy
Margarita Burciaga
B: 1940-04-20
D: 2019-04-04
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Burciaga, Margarita
Betty Rodriguez
D: 2019-04-02
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Rodriguez, Betty
Salam Aboujaoude
B: 1937-03-18
D: 2019-03-31
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Aboujaoude, Salam
Rex Wilmes
B: 1943-01-01
D: 2019-03-31
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Wilmes, Rex
Robert Hernandez
B: 1968-09-28
D: 2019-03-31
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Hernandez, Robert
Norman Davis
B: 1954-01-26
D: 2019-03-30
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Davis, Norman
Carroll Jordan
D: 2019-03-30
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Jordan, Carroll
Hector Gonzalez
B: 1944-06-19
D: 2019-03-29
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Gonzalez, Hector

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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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