Obituaries

Claudia Radcliff
B: 1912-10-20
D: 2017-10-09
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Radcliff, Claudia
Charles Devine
B: 1923-05-04
D: 2017-10-09
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Devine, Charles
Donnie Shay
B: 1950-08-05
D: 2017-10-09
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Shay, Donnie
Louise Frazer
B: 1924-09-04
D: 2017-10-04
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Frazer, Louise
Elbert Nollie
B: 1930-03-29
D: 2017-10-02
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Nollie, Elbert
Gladys Jacques
B: 1931-12-04
D: 2017-09-30
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Jacques, Gladys
Arlethia Craig
B: 1929-08-01
D: 2017-09-23
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Craig, Arlethia
Richard Snowden
B: 1932-05-30
D: 2017-09-15
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Snowden, Richard
Atty. Robert Redford
B: 1932-08-20
D: 2017-09-06
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Redford, Atty. Robert
Dr. Raleigh Saddler
B: 1935-11-11
D: 2017-09-03
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Saddler, Dr. Raleigh
Larry Ridgell
B: 1940-10-17
D: 2017-09-03
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Ridgell, Larry
Deolma Randall
B: 1940-11-08
D: 2017-09-02
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Randall, Deolma
Efren Celestino
B: 1986-03-07
D: 2017-08-31
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Celestino, Efren
Dorcas Flowers
B: 1924-10-04
D: 2017-08-29
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Flowers, Dorcas
Charlie Bennett
B: 1927-04-17
D: 2017-08-29
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Bennett, Charlie
Jeanne McPherson - Milner
B: 1955-07-29
D: 2017-08-28
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McPherson - Milner, Jeanne
Charles Robison
B: 1957-12-17
D: 2017-08-25
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Robison, Charles
Robert Roquemore
B: 1927-01-01
D: 2017-08-14
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Roquemore, Robert
Bishop Frederick Alexander
B: 1945-06-04
D: 2017-08-12
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Alexander, Bishop Frederick
Shirley Rener
B: 1943-12-29
D: 2017-08-10
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Rener, Shirley
Eric Holloway
B: 1989-08-26
D: 2017-08-07
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Holloway, Eric

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Pasadena, CA 91103
Phone: 626-798-8941
Fax: 626-798-0195

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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:

Miscellaneous Notes and Instructions:

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Please place my information on file


 

 

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