Obituaries

Salome Tovar
B: 1940-01-01
D: 2018-07-01
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Tovar, Salome
Isabel Ornelas
B: 1935-11-02
D: 2018-06-22
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Ornelas, Isabel
Evelyn Cater
B: 1922-07-09
D: 2018-06-18
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Cater, Evelyn
Emilio Salazar
B: 1922-06-30
D: 2018-06-18
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Salazar, Emilio
Gail Crozier
B: 1951-06-01
D: 2018-06-16
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Crozier, Gail
Mike Bustamante
B: 1991-06-27
D: 2018-06-15
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Bustamante, Mike
Ama McDermid
B: 1953-08-28
D: 2018-06-14
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McDermid, Ama
Billy Melton
B: 1951-07-22
D: 2018-06-13
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Melton, Billy
Geraldine Harris
B: 1935-05-09
D: 2018-06-10
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Harris, Geraldine
Charlotte Strong
B: 1932-09-05
D: 2018-06-09
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Strong, Charlotte
Bessie Tipton
B: 1934-08-17
D: 2018-06-08
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Tipton, Bessie
Jewell Wilhoit
B: 1924-11-26
D: 2018-06-07
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Wilhoit, Jewell
Fred Trujillo
B: 1940-03-16
D: 2018-05-17
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Trujillo, Fred
Stanley Harrison
B: 1949-08-29
D: 2018-05-16
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Harrison, Stanley
Eva Holleyman
B: 1922-08-23
D: 2018-05-10
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Holleyman, Eva
Betty Burleson
B: 1927-07-11
D: 2018-05-09
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Burleson, Betty
Ludell Heflin
B: 1955-09-16
D: 2018-05-09
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Heflin, Ludell
Ember Ontiveros
B: 2018-05-08
D: 2018-05-08
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Ontiveros, Ember
George Faver
B: 1941-07-16
D: 2018-05-06
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Faver, George
Ignacio Garcia
B: 1962-11-21
D: 2018-05-03
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Garcia, Ignacio
Paul Golightly
B: 1954-04-03
D: 2018-04-30
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Golightly, Paul

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P O Box 116
Portales, NM 88130
Phone: 575-356-4455
Fax: 575-356-2646
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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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