Obituaries

Ryan Magness
B: 1974-02-15
D: 2019-02-19
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Magness, Ryan
Luella Tivis
B: 1925-06-23
D: 2019-02-15
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Tivis, Luella
Kenneth Allen
B: 1936-05-31
D: 2019-02-14
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Allen, Kenneth
Judith White
B: 1949-03-26
D: 2019-02-10
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White, Judith
Edward Richter
B: 1925-08-29
D: 2019-02-04
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Richter, Edward
Manuel Gonzalez
B: 1955-04-02
D: 2019-02-02
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Gonzalez, Manuel
James Hinton
B: 1984-08-22
D: 2019-02-02
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Hinton, James
Scotty Watson
B: 1968-01-23
D: 2019-01-31
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Watson, Scotty
Marjorie Williamson
B: 1929-06-09
D: 2019-01-29
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Williamson, Marjorie
Jose Flores
B: 1936-09-20
D: 2019-01-29
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Flores, Jose
May Willine Jones
B: 1929-03-17
D: 2019-01-27
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Jones, May Willine
Ruth Visage
B: 1920-06-10
D: 2019-01-25
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Visage, Ruth
Callie Wood-Langston
B: 1925-06-19
D: 2019-01-21
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Wood-Langston, Callie
Miguel (Mike) Lucero
B: 1935-02-19
D: 2019-01-20
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Lucero, Miguel (Mike)
Nena Stratton
B: 1931-06-08
D: 2019-01-19
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Stratton, Nena
Osbaldo Navarrete
B: 1974-06-27
D: 2019-01-19
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Navarrete, Osbaldo
Shirley Howard
B: 1937-09-01
D: 2019-01-17
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Howard, Shirley
Naomi Hall
B: 1928-05-10
D: 2019-01-16
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Hall, Naomi
Marie Roberson
B: 1927-04-23
D: 2019-01-14
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Roberson, Marie
Ruth "Jane" Lee
B: 1915-05-27
D: 2019-01-10
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Lee, Ruth "Jane"
Richard Shearer
B: 1951-05-02
D: 2019-01-10
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Shearer, Richard

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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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