Obituaries

Robert Uhlar
B: 1929-12-03
D: 2017-05-12
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Uhlar, Robert
Martin Paul
B: 1953-03-20
D: 2017-04-30
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Paul, Martin
Dorothy Meyler
B: 1930-02-27
D: 2017-05-14
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Meyler, Dorothy
Florence Freize
B: 1941-05-23
D: 2017-04-07
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Freize, Florence
Lucia Bagley
B: 1916-09-20
D: 2017-05-10
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Bagley , Lucia
Bernardo Valenzuela Peña
B: 1940-08-30
D: 2017-05-22
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Peña, Bernardo Valenzuela
Alfredo Ayala
B: 1937-09-14
D: 2017-04-28
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Ayala, Alfredo
Rafael Humberto Dominguez
B: 1940-11-01
D: 2017-05-18
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Dominguez, Rafael Humberto
Howard Richey
B: 1926-08-22
D: 2017-05-05
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Richey, Howard
Tavita Cortez Ortiz
B: 1929-05-29
D: 2017-05-12
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Cortez Ortiz, Tavita
Avelino Alturas Culpa
B: 1937-11-10
D: 2017-05-18
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Culpa, Avelino Alturas
Manuel Mendoza
B: 1930-04-28
D: 2017-05-05
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Mendoza, Manuel
Joseph Charles Berger
B: 1934-09-18
D: 2017-05-06
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Berger, Joseph Charles
Leona Susan Reed
B: 1921-02-17
D: 2017-05-12
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Reed , Leona Susan
Carol Seager
B: 1934-10-18
D: 2017-04-28
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Seager, Carol
Jacquelyn Walker
B: 1986-07-31
D: 2017-05-04
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Walker, Jacquelyn
Juan Rodriguez Araujo
B: 1935-07-23
D: 2017-04-28
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Rodriguez Araujo, Juan
Ken Nobuo Sekiguchi
B: 1955-09-09
D: 2017-05-02
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Sekiguchi , Ken Nobuo
Judy Palme Segna
B: 1925-04-06
D: 2017-05-13
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Segna, Judy Palme
Valentina Mejia
B: 2017-02-14
D: 2017-05-13
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Mejia , Valentina
Marie Prater
B: 1944-06-26
D: 2017-05-04
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Prater, Marie

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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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