Obituaries

Serafina Leon
B: 1926-08-31
D: 2018-07-14
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Leon, Serafina
Nader Soliman
B: 1951-02-01
D: 2018-07-06
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Soliman, Nader
Taylor Fuller
D: 2018-06-04
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Fuller, Taylor
Adrian Reid
B: 1993-07-21
D: 2018-06-04
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Reid, Adrian
Marina Vazquez
B: 2017-09-06
D: 2018-05-08
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Vazquez, Marina
Michael Bugter-Van Loon
B: 1989-12-21
D: 2018-04-14
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Bugter-Van Loon, Michael
Dolores Della Savia
B: 1934-07-15
D: 2018-04-11
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Della Savia , Dolores
Louise Facey
B: 1927-06-07
D: 2018-04-05
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Facey, Louise
Mark Pleasants
B: 1966-08-25
D: 2018-04-04
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Pleasants, Mark
Phillip Rosso
B: 1958-02-03
D: 2018-04-03
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Rosso, Phillip
Elly Gutierrez
B: 1924-10-26
D: 2018-03-25
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Gutierrez, Elly
Hubbard Stewart
B: 1943-01-15
D: 2018-03-06
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Stewart, Hubbard
Alfredo Dellasavia
B: 1928-01-24
D: 2018-03-01
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Dellasavia, Alfredo
Elio Delgado Galban
B: 1935-05-03
D: 2018-02-27
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Delgado Galban, Elio
Carlotta Schambach
B: 1933-04-23
D: 2018-02-26
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Schambach, Carlotta
John Gottesmen
B: 1941-05-28
D: 2018-02-15
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Gottesmen, John
Keith Oliver
B: 1949-08-24
D: 2018-01-08
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Oliver, Keith
Rosemary Wallace
B: 1931-03-15
D: 2018-01-06
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Wallace, Rosemary
Luis Mercado
B: 1982-06-28
D: 2017-12-05
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Mercado, Luis
Robert Schambach
B: 1928-11-21
D: 2017-11-20
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Schambach, Robert
Paulette Williams
B: 1951-03-28
D: 2017-11-18
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Williams, Paulette

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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
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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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