Obituaries

Nancy St. Clair
B: 1929-11-05
D: 2017-04-21
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St. Clair, Nancy
Benildo Guzman
B: 1950-05-06
D: 2017-04-08
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Guzman, Benildo
Winston Hunt
B: 1953-04-21
D: 2017-03-25
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Hunt, Winston
Edith Gagliolo
B: 1920-06-08
D: 2017-03-24
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Gagliolo, Edith
Uthuppan Pinakkuzhathil
B: 1929-02-17
D: 2017-02-16
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Pinakkuzhathil, Uthuppan
Darrell Cowan
B: 1959-10-01
D: 2016-12-13
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Cowan, Darrell
Adam Rojas
B: 1997-03-17
D: 2016-12-12
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Rojas, Adam
Noel Seow
B: 1933-11-24
D: 2016-12-09
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Seow, Noel
Marvin Santana
B: 1975-06-20
D: 2016-12-04
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Santana, Marvin
Sami Bishay
D: 2016-11-14
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Bishay, Sami
Dale Adams
B: 1950-06-13
D: 2016-11-01
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Adams, Dale
Norma Caballero
B: 1932-01-05
D: 2016-10-31
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Caballero, Norma
Cornelia Dickens
B: 1931-11-18
D: 2016-09-19
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Dickens, Cornelia
Maria Mercado
D: 2016-06-10
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Mercado, Maria
Ann Cummings
B: 1940-08-14
D: 2016-06-03
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Cummings, Ann
Raul Cabanilla
D: 2016-06-02
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Cabanilla, Raul
Robert James
D: 2016-06-02
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James, Robert
Carlos Toledo
D: 2016-05-06
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Toledo, Carlos
Claire Douyon
B: 1935-03-29
D: 2016-05-01
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Douyon, Claire
Samuel Roig
B: 1961-07-03
D: 2016-04-26
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Roig , Samuel
Miquel Barrios
D: 2016-04-20
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Barrios, Miquel

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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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