Obituaries

William Mills
B: 1940-10-27
D: 2018-05-09
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Mills, William
Maria Peinado
B: 1941-04-13
D: 2018-05-20
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Peinado, Maria
John Dombrowski
B: 1948-03-09
D: 2018-05-17
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Dombrowski, John
Henry Lutz, Jr.
B: 1927-12-17
D: 2018-03-16
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Lutz, Jr. , Henry
Dolores Lenta
B: 1929-04-05
D: 2018-05-23
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Lenta, Dolores
Lana Fisher
B: 1947-08-12
D: 2018-05-14
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Fisher, Lana
Nalzina Woll
B: 1925-09-21
D: 2018-04-07
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Woll, Nalzina
Henry Minjarez
B: 1928-11-27
D: 2018-05-19
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Minjarez, Henry
Gregoria Palos
B: 1935-10-17
D: 2018-05-18
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Palos, Gregoria
Frances Woolard
B: 1923-04-25
D: 2018-05-22
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Woolard, Frances
Raymond Trudell
B: 1933-10-13
D: 2018-05-18
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Trudell, Raymond
Carol Peper
B: 1943-08-06
D: 2018-05-19
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Peper, Carol
Liselotte Clary
B: 1923-12-31
D: 2018-05-10
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Clary, Liselotte
Susan Saenz
B: 1959-10-28
D: 2018-05-19
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Saenz, Susan
Catalina Arevalo
B: 1934-05-03
D: 2018-05-22
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Arevalo, Catalina
Timothy Smith
B: 1951-12-27
D: 2018-05-08
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Smith, Timothy
Enrique Saldivar
B: 1968-05-15
D: 2018-05-18
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Saldivar, Enrique
Ruben Camargo
B: 1950-02-11
D: 2018-04-30
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Camargo, Ruben
Andrew Crivello
B: 2018-03-20
D: 2018-05-20
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Crivello, Andrew
Andrew Smith
B: 1937-05-27
D: 2018-05-13
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Smith, Andrew
Noreen Whitworth
B: 1928-05-08
D: 2018-05-19
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Whitworth, Noreen

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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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