Obituaries

Jesse Chapman
B: 1936-10-27
D: 2025-04-05
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Chapman, Jesse
Harrison Ridgeway
B: 1955-01-18
D: 2025-04-05
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Ridgeway, Harrison
John Roquemore
B: 1930-05-29
D: 2025-04-03
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Roquemore, John
James Bell
B: 1954-03-05
D: 2025-04-03
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Bell, James
Frederick Perdue
B: 1944-07-20
D: 2025-04-02
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Perdue, Frederick
Linda Clark
B: 1948-04-29
D: 2025-03-31
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Clark, Linda
Argola Haynes
B: 1940-05-24
D: 2025-03-29
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Haynes, Argola
Gwendolyn Booker
B: 1947-03-25
D: 2025-03-27
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Booker, Gwendolyn
Jeannette Cogshell
B: 1946-02-11
D: 2025-03-23
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Cogshell, Jeannette
Irma Waiters
B: 1944-01-08
D: 2025-03-18
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Waiters, Irma
Joseph Parks
B: 1974-06-11
D: 2025-03-15
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Parks, Joseph
Prentiss Nephew
B: 1933-06-10
D: 2025-03-14
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Nephew, Prentiss
Margie McNary
B: 1935-05-05
D: 2025-03-10
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McNary, Margie
Nia Reyes
B: 1970-02-12
D: 2025-03-02
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Reyes, Nia
Rosemary Johnson
B: 1937-07-31
D: 2025-02-24
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Johnson, Rosemary
Mariette Kassir
B: 1946-07-23
D: 2025-02-14
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Kassir, Mariette
Myron Mc Clain
B: 1957-11-05
D: 2025-02-14
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Mc Clain, Myron
Josephine Camp
B: 1933-07-13
D: 2025-02-13
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Camp, Josephine
Carlos Gonzalez
B: 1964-09-13
D: 2025-02-05
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Gonzalez, Carlos
Arthur Jones
B: 1950-05-08
D: 2025-02-05
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Jones, Arthur
Anne Traylor
B: 1926-01-28
D: 2025-01-29
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Traylor, Anne

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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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