Obituaries

Larry Marek
B: 1936-10-16
D: 2017-08-18
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Marek, Larry
Lena Pecha
B: 1940-08-30
D: 2017-08-18
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Pecha, Lena
Betty Stelson
B: 1930-08-26
D: 2017-08-16
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Stelson, Betty
Robert Edwards
B: 1957-02-10
D: 2017-08-16
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Edwards, Robert
Dora Gonzales
B: 1940-04-04
D: 2017-08-16
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Gonzales, Dora
Boyd Deters
B: 1938-04-06
D: 2017-08-15
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Deters, Boyd
Rachel Pena
B: 1943-04-05
D: 2017-08-14
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Pena, Rachel
Paul Atkinson
B: 1924-07-23
D: 2017-08-14
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Atkinson, Paul
Rubie Pohler
B: 1921-02-22
D: 2017-08-13
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Pohler, Rubie
Nicolasa Hernandez
B: 1936-12-06
D: 2017-08-11
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Hernandez, Nicolasa
Randy Keenan
B: 1951-04-10
D: 2017-08-11
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Keenan, Randy
Bill Webb
B: 1925-08-04
D: 2017-08-10
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Webb, Bill
Ora Garley
B: 1946-01-06
D: 2017-08-08
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Garley, Ora
Tomasa Rodriguez
B: 1932-03-07
D: 2017-08-06
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Rodriguez, Tomasa
Amy Bernhard
B: 1970-12-05
D: 2017-08-05
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Bernhard, Amy
Cecilia Garcia
B: 1925-04-13
D: 2017-08-03
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Garcia, Cecilia
Donald Kruppa
B: 1950-09-19
D: 2017-07-31
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Kruppa, Donald
Manuel Juarez
B: 1944-04-20
D: 2017-07-31
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Juarez, Manuel
Marjorie Eilers
B: 1941-06-17
D: 2017-07-30
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Eilers, Marjorie
Frank Scott
B: 1930-03-15
D: 2017-07-29
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Scott, Frank
Elias Moya
B: 1947-09-24
D: 2017-07-29
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Moya, Elias

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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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