Obituaries

Robert Drennan
B: 1928-02-20
D: 2017-10-18
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Drennan, Robert
Frank Bargas
B: 1928-07-04
D: 2017-10-17
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Bargas, Frank
Jeanne Rebik
B: 1954-11-04
D: 2017-10-13
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Rebik, Jeanne
Johan Dorman
B: 1951-06-12
D: 2017-10-11
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Dorman, Johan
Fred Wilson
D: 2017-10-10
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Wilson, Fred
John Beard
B: 1959-10-17
D: 2017-10-09
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Beard, John
George Underwood
D: 2017-10-09
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Underwood, George
Delores Johnson
B: 1932-04-11
D: 2017-10-05
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Johnson, Delores
Ahnyx Reed
B: 2017-10-04
D: 2017-10-04
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Reed, Ahnyx
Luella Foss
B: 1931-07-22
D: 2017-10-02
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Foss, Luella
Wilbert Wiedeman
B: 1936-11-27
D: 2017-10-02
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Wiedeman, Wilbert
Genoveva Pena
B: 1948-08-11
D: 2017-10-01
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Pena, Genoveva
Robert Lopez
B: 1936-07-11
D: 2017-09-29
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Lopez, Robert
Blanca Cura
B: 1944-11-16
D: 2017-09-28
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Cura, Blanca
Robert Keating
B: 1950-11-30
D: 2017-09-28
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Keating, Robert
Perfetita Garcia
B: 1933-09-11
D: 2017-09-27
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Garcia, Perfetita
James Moore
B: 1943-02-12
D: 2017-09-26
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Moore, James
Benina Jaramillo
B: 1924-02-24
D: 2017-09-24
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Jaramillo, Benina
Roger Smit
B: 1957-12-20
D: 2017-09-23
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Smit, Roger
Rhoeda Merry
B: 1958-09-29
D: 2017-09-23
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Merry, Rhoeda
Robert Anderson
B: 1935-05-23
D: 2017-09-22
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Anderson, Robert

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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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