Obituaries

Anita Ham
B: 1922-01-04
D: 2018-07-29
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Ham, Anita
Howard Conrad
B: 1926-05-15
D: 2018-08-16
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Conrad, Howard
Micaela Saldivar Torres
B: 1922-05-08
D: 2018-08-11
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Torres, Micaela Saldivar
Jon Ericsson
B: 1947-01-08
D: 2018-08-19
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Ericsson, Jon
Ruben Bayot
B: 1946-10-28
D: 2018-08-12
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Bayot, Ruben
Jerry Eugene Black
B: 1955-04-29
D: 2018-08-06
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Black, Jerry Eugene
Dorothy Kraemer
B: 1931-02-22
D: 2018-08-12
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Kraemer, Dorothy
Bobbie Gonsalves
B: 1934-09-10
D: 2018-08-16
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Gonsalves, Bobbie
Foe Motuga
B: 1938-08-31
D: 2018-08-17
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Motuga, Foe
Janet Wallace
B: 1922-10-30
D: 2018-08-13
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Wallace, Janet
Jacqueline Perrenoud
B: 1932-05-30
D: 2018-08-03
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Perrenoud, Jacqueline
Jeffrey Hagge
B: 1954-09-12
D: 2018-08-04
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Hagge, Jeffrey
Kathleen Bickel
B: 1947-06-21
D: 2018-08-17
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Bickel, Kathleen
Caleb Lane
B: 2000-12-15
D: 2018-08-19
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Lane, Caleb
Tracy Garrett, Jr.
B: 1946-12-03
D: 2018-08-16
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Garrett, Jr. , Tracy
Arnold Crawford Sr
B: 1952-02-26
D: 2018-08-08
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Crawford Sr, Arnold
David Holloway, III
B: 1936-03-22
D: 2018-08-15
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Holloway, III, David
Concepcion Mort
B: 1932-03-26
D: 2018-08-16
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Mort, Concepcion
Maria Urena
B: 1935-06-27
D: 2018-08-14
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Urena, Maria
Della Breault
B: 1940-03-01
D: 2018-08-13
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Breault, Della
David Knipscheer
B: 1947-06-11
D: 2018-08-02
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Knipscheer, David

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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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