Obituaries

Darryl Williams
B: 1952-11-11
D: 2024-03-02
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Williams, Darryl
Mable Branch
B: 1931-08-14
D: 2024-02-22
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Branch, Mable
Margerie Dugan
B: 1925-08-09
D: 2024-02-20
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Dugan, Margerie
Edna Bluain
B: 1926-10-03
D: 2024-02-20
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Bluain, Edna
Ray Coleman
B: 1966-07-17
D: 2024-02-19
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Coleman, Ray
Freddie Shotlow
B: 1934-06-29
D: 2024-02-16
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Shotlow, Freddie
Ellastine Myricks
B: 1957-02-13
D: 2024-02-10
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Myricks, Ellastine
Frank Bell
B: 1934-08-10
D: 2024-01-31
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Bell, Frank
Rosemary Carr
B: 1954-08-25
D: 2024-01-25
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Carr, Rosemary
Mary Latimore
B: 1931-01-15
D: 2024-01-17
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Latimore, Mary
Alice Floyd
B: 1924-04-01
D: 2024-01-16
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Floyd, Alice
Olivia Whisenant
B: 1944-01-23
D: 2024-01-12
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Whisenant, Olivia
Debra Large
B: 1957-09-14
D: 2024-01-10
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Large, Debra
David Williams
B: 1934-02-08
D: 2024-01-10
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Williams, David
Stewart Smith
B: 1961-11-30
D: 2024-01-07
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Smith, Stewart
Jamil Yancey-Brown
B: 1984-04-25
D: 2024-01-07
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Yancey-Brown, Jamil
Eric Hopkins
B: 1954-04-08
D: 2024-01-02
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Hopkins, Eric
Derrick Green
B: 1986-01-07
D: 2023-12-31
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Green, Derrick
Sharon Roquemore
B: 1954-12-10
D: 2023-12-23
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Roquemore, Sharon
Kokilaben Mehta
B: 1936-06-28
D: 2023-12-22
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Mehta, Kokilaben
Mildred Wilfong
B: 1935-07-14
D: 2023-12-22
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Wilfong, Mildred

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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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