Obituaries

Julius Polk
B: 1947-10-05
D: 2017-11-22
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Polk, Julius
John McNulty
B: 1936-08-04
D: 2017-11-20
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McNulty, John
Van Graham
B: 1933-09-11
D: 2017-11-15
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Graham, Van
Florence Stearns
B: 1927-06-02
D: 2017-11-15
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Stearns, Florence
Vada Mitchell
B: 1940-07-25
D: 2017-11-04
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Mitchell, Vada
Rosa Webb
B: 1926-10-28
D: 2017-10-28
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Webb, Rosa
Lois Preslar
B: 1913-12-28
D: 2017-10-26
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Preslar, Lois
Helen Foster
B: 1934-10-29
D: 2017-10-25
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Foster, Helen
Russell Taylor
B: 1925-12-14
D: 2017-10-24
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Taylor, Russell
Cal Scott
B: 1936-08-25
D: 2017-10-22
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Scott, Cal
Krystyna Garza
B: 1991-07-26
D: 2017-10-16
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Garza, Krystyna
Doris Martin
B: 1929-04-14
D: 2017-10-10
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Martin, Doris
Tommie Sears
B: 1941-12-31
D: 2017-10-09
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Sears, Tommie
Margaret Basquette
B: 1934-10-27
D: 2017-10-08
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Basquette, Margaret
Leonora Moreno
B: 1940-01-14
D: 2017-09-26
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Moreno, Leonora
Carell O'Brien
B: 1945-03-23
D: 2017-09-22
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O'Brien, Carell
Ruby Foresyth
B: 1923-06-04
D: 2017-09-21
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Foresyth, Ruby
Robert Fry
B: 1952-05-15
D: 2017-09-20
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Fry, Robert
Richard Hill
B: 1930-03-27
D: 2017-09-16
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Hill, Richard
Mary Ann Ward
B: 1938-03-21
D: 2017-09-11
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Ward, Mary Ann
Jimmy Calderon
B: 1960-01-17
D: 2017-09-09
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Calderon, Jimmy

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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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