Obituaries

June Clarke
B: 1934-12-22
D: 2018-01-02
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Clarke, June
Merle Derscheid
B: 1919-02-03
D: 2018-01-18
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Derscheid, Merle
Madenia Freitas
B: 1924-03-20
D: 2018-01-21
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Freitas, Madenia
Howard Clifford Clune
B: 1928-03-01
D: 2018-01-08
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Clune, Howard Clifford
Willie Baxter
B: 1939-01-04
D: 2018-01-05
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Baxter, Willie
Harriet Hamilton
B: 1930-03-06
D: 2018-11-15
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Hamilton, Harriet
Stuart Sigafoos
B: 1951-05-20
D: 2018-01-08
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Sigafoos, Stuart
Katherine Clark
B: 1924-09-09
D: 2018-01-06
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Clark, Katherine
Michael Anthony Castillejos
B: 1956-02-11
D: 2018-01-14
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Castillejos, Michael Anthony
Patricia Hubbard
B: 1939-04-03
D: 2018-01-12
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Hubbard, Patricia
Katie Pettus
B: 1925-02-08
D: 2018-01-09
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Pettus, Katie
Geraldine Pillow
B: 1928-03-08
D: 2018-01-15
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Pillow, Geraldine
Eric Medah
B: 1972-05-15
D: 2018-01-16
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Medah, Eric
Jordan Ronald Phillip Usher
B: 2002-05-14
D: 2018-01-01
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Usher, Jordan Ronald Phillip
Cynthia Wong
B: 1937-08-04
D: 2018-01-15
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Wong, Cynthia
Norma Pearson
B: 1933-09-12
D: 2018-01-05
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Pearson, Norma
Jovita Avila
B: 1928-09-11
D: 2018-01-10
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Avila, Jovita
Ullen Short
B: 1927-09-02
D: 2018-01-13
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Short, Ullen
Lance Thacker
B: 1970-11-22
D: 2018-01-13
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Thacker, Lance
John Davis Coopwood, Jr.
B: 1918-11-27
D: 2018-01-14
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Coopwood, Jr., John Davis
Diana Leal
B: 1943-12-09
D: 2018-01-03
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Leal, Diana

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1501 W. Florida Ave.
PO BOX 1077 Hemet , CA 92546
Hemet, CA 92543
Phone: (951) 658-3161
Fax: (951) 652-5826

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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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