Obituaries

Marvin Schulz
B: 1927-03-06
D: 2017-02-08
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Schulz, Marvin
John Bald
B: 1944-01-29
D: 2017-02-03
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Bald, John
Gerda Halstein
B: 1932-09-12
D: 2017-02-18
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Halstein, Gerda
Raymond Hum
B: 1941-11-08
D: 2017-02-09
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Hum, Raymond
James Medford
B: 1925-01-26
D: 2017-02-10
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Medford, James
Betty Gibbel
B: 1936-10-20
D: 2017-02-20
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Gibbel, Betty
Frank Bacon
B: 1920-07-04
D: 2017-01-19
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Bacon, Frank
Ebimobowei Dick
B: 1982-10-07
D: 2017-01-20
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Dick, Ebimobowei
Mildred Garfield
B: 1953-03-02
D: 2017-02-06
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Garfield, Mildred
Charles Lancaster
B: 1926-06-04
D: 2017-02-11
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Lancaster, Charles
Frank Mercado
B: 1949-11-15
D: 2017-02-21
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Mercado, Frank
Michael Stearns
B: 1950-08-27
D: 2017-02-22
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Stearns, Michael
Marcus Gastiaburu
B: 1969-05-14
D: 2017-02-14
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Gastiaburu, Marcus
John Samuel Gaskin
B: 1929-01-06
D: 2017-02-15
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Gaskin, John Samuel
Charles Doffard Smith
B: 1928-05-06
D: 2017-02-16
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Smith, Charles Doffard
Alexander Thompson
B: 1936-01-03
D: 2017-01-29
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Thompson, Alexander
Nicolas Ruiz
B: 1951-12-06
D: 2017-02-15
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Ruiz, Nicolas
Olga Sabina Lepordo
B: 1932-04-03
D: 2017-02-18
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Lepordo , Olga Sabina
Shahin Minouei
B: 1957-10-16
D: 2017-01-19
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Minouei, Shahin
Miriam Ada Shepas
B: 1937-10-21
D: 2017-02-15
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Shepas , Miriam Ada
Karen Ortega
B: 1954-12-31
D: 2016-12-18
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Ortega, Karen

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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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