Obituaries

Paul Havner
B: 1950-06-18
D: 2017-12-12
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Havner, Paul
Charlotte Gibbons
B: 1933-02-04
D: 2017-12-12
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Gibbons, Charlotte
Sylvia Minnick
B: 1915-06-27
D: 2017-12-07
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Minnick, Sylvia
Jesse Jimenez
B: 1990-06-02
D: 2017-12-06
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Jimenez, Jesse
Lois Mottonen
B: 1929-05-14
D: 2017-12-06
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Mottonen, Lois
Aurora Nava
B: 1940-07-01
D: 2017-12-03
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Nava, Aurora
Jean Bradway
B: 1925-10-30
D: 2017-12-02
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Bradway, Jean
Nicholas Leyo
B: 1980-06-26
D: 2017-12-01
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Leyo, Nicholas
Carlo Mondello
B: 1926-04-01
D: 2017-11-29
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Mondello, Carlo
Albert Martin
B: 1927-09-24
D: 2017-11-29
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Martin, Albert
Frederick "Fred" Naish
B: 1944-04-04
D: 2017-11-29
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Naish, Frederick "Fred"
Timothy Conley
B: 1974-06-22
D: 2017-11-28
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Conley, Timothy
Carl D. "Dave" Sanders
B: 1944-03-19
D: 2017-11-27
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Sanders, Carl D. "Dave"
Phyllis Gruber
B: 1925-03-11
D: 2017-11-20
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Gruber, Phyllis
Tristan Rohwer
B: 1975-08-06
D: 2017-11-20
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Rohwer, Tristan
Roger Sisneros
B: 1947-03-12
D: 2017-11-18
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Sisneros, Roger
Carol Chapman
B: 1935-12-05
D: 2017-11-15
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Chapman, Carol
Roger Miller
B: 1967-02-02
D: 2017-11-14
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Miller, Roger
Barbara Black
B: 1943-01-13
D: 2017-11-12
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Black, Barbara
H. "Rob" Cleveland
B: 1962-12-13
D: 2017-11-09
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Cleveland, H. "Rob"
Kenneth Kaiser
B: 1949-02-11
D: 2017-11-09
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Kaiser, Kenneth

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I. Biographical Information

Full Name:
Address1:
Address2:
City Name:
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Telephone Number:
(xxx-xxx-xxxx)
Email Address:
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City of Birth:
State of Birth:
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Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
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Survivors' Names and Cities of Residence
Relatives Who Have Preceded You In Death
Your Occupation:
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Company Name:
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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:
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Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
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The cemetery property is in the name of:
         

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