Obituaries

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
Dylan McKay
B: 1994-02-20
D: 2018-04-27
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McKay, Dylan
Wesley Bales
B: 1938-09-18
D: 2018-04-20
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Bales, Wesley
Bertie Wallace
B: 1922-12-11
D: 2018-04-15
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Wallace, Bertie
Charles Buzard
B: 1938-07-25
D: 2018-04-07
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Buzard, Charles
Daniel Saiz
B: 1974-02-06
D: 2018-04-02
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Saiz, Daniel
Louise McGee
B: 1946-09-09
D: 2018-04-01
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McGee, Louise
Lillian Geen
B: 1925-08-11
D: 2018-03-27
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Geen, Lillian
Dave Collins
B: 1933-12-12
D: 2018-03-25
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Collins, Dave
Maria Ramos
B: 1955-10-15
D: 2018-03-25
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Ramos, Maria
Frank Lopez
B: 1964-01-10
D: 2018-03-24
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Lopez, Frank
Miguel Arellano
B: 1956-10-20
D: 2018-03-22
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Arellano, Miguel
Josephine Soto
B: 1938-06-14
D: 2018-03-22
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Soto, Josephine

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500 E Third St.
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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