Obituaries

Eloyce Pacheco
B: 1923-12-19
D: 2017-10-12
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Pacheco, Eloyce
James Haynes
B: 1934-01-30
D: 2017-10-09
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Haynes, James
Erma Walker
B: 1937-09-17
D: 2017-10-09
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Walker, Erma
Betty Juhl
B: 1929-10-05
D: 2017-10-09
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Juhl, Betty
Dale Brown
B: 1922-09-08
D: 2017-10-09
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Brown, Dale
William Carter
B: 1930-01-09
D: 2017-10-08
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Carter, William
Ben Shepherd
B: 1935-07-13
D: 2017-10-05
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Shepherd, Ben
Leonard Vigil
B: 1949-12-13
D: 2017-10-05
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Vigil, Leonard
Joann Royse
B: 1928-09-30
D: 2017-10-02
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Royse, Joann
Emily Szczutkowski
B: 1928-06-01
D: 2017-10-01
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Szczutkowski, Emily
William Wallace
B: 1932-06-22
D: 2017-10-01
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Wallace, William
Betty MacLeod
B: 1943-06-03
D: 2017-09-30
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MacLeod, Betty
Brigitte Bunevich
B: 1932-12-21
D: 2017-09-28
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Bunevich, Brigitte
Nellie Gray
B: 1916-12-05
D: 2017-09-28
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Gray, Nellie
Eugene Malsan
B: 1932-10-27
D: 2017-09-27
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Malsan, Eugene
Clyde Keffer
B: 1928-11-30
D: 2017-09-27
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Keffer, Clyde
Carl Coleman
B: 1940-02-05
D: 2017-09-26
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Coleman, Carl
Esther Teale
B: 1922-11-17
D: 2017-09-25
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Teale, Esther
Glenn Schultz
B: 1927-03-14
D: 2017-09-21
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Schultz, Glenn
Howard Merrick
B: 1935-09-12
D: 2017-09-21
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Merrick, Howard
Otto Sidon
B: 1931-08-01
D: 2017-09-20
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Sidon, Otto

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Phone: 719-634-1597
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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:
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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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:
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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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Outer Container Preference: (for ground burial)
Cemetery Name:
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The cemetery property is in the name of:

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