Obituaries

Arthur Graham, M.D.
B: 1932-12-16
D: 2018-04-16
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Graham, M.D., Arthur
Tommie Gipson
B: 1931-02-07
D: 2018-04-14
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Gipson, Tommie
Oralia Dominguez
B: 1915-12-26
D: 2018-04-10
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Dominguez, Oralia
Bonnie Barbosa
B: 1963-03-27
D: 2018-04-09
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Barbosa, Bonnie
Garfield Stokes
B: 1938-12-24
D: 2018-04-09
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Stokes, Garfield
Shawn Rapjack
B: 1971-04-04
D: 2018-04-08
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Rapjack, Shawn
Jack Childs
B: 1938-04-21
D: 2018-04-08
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Childs, Jack
Rodney Olson
B: 1930-08-19
D: 2018-04-06
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Olson, Rodney
Lawrence Maestas
B: 1955-09-15
D: 2018-04-06
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Maestas, Lawrence
Jack Watson
B: 1933-01-29
D: 2018-04-05
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Watson, Jack
Ruby Marquez
B: 1918-11-28
D: 2018-04-05
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Marquez, Ruby
James Way
B: 1930-08-07
D: 2018-04-04
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Way, James
Florence Herrmann
B: 1923-10-16
D: 2018-04-03
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Herrmann, Florence
Mark Crompton
B: 1955-06-11
D: 2018-04-02
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Crompton, Mark
Emory Freeman
B: 1915-03-08
D: 2018-04-02
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Freeman, Emory
Lorene Lemire
B: 1944-02-03
D: 2018-04-01
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Lemire, Lorene
Carol Ruminski
B: 1954-08-20
D: 2018-04-01
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Ruminski, Carol
Deborah Fenton
B: 1956-06-22
D: 2018-04-01
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Fenton, Deborah
Amalia Gallegos
B: 1921-07-01
D: 2018-04-01
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Gallegos, Amalia
Ronald Camara
B: 1947-08-09
D: 2018-03-31
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Camara, Ronald
Nola Rowley
B: 1925-12-03
D: 2018-03-31
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Rowley, Nola

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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:
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:
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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:
Cemetery Location:
The cemetery property is in the name of:

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