Obituaries

Dawn Tatsuyama
B: 1979-09-23
D: 2017-05-18
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Tatsuyama, Dawn
Lillian Garcia
B: 1930-01-29
D: 2017-05-17
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Garcia, Lillian
Lanae Ngatuvai
B: 1958-12-19
D: 2017-05-16
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Ngatuvai, Lanae
Helen Foster
B: 1934-11-25
D: 2017-05-16
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Foster, Helen
Edward Keo
B: 1961-12-25
D: 2017-05-16
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Keo, Edward
Elizabeth Robertson
B: 1958-11-01
D: 2017-05-16
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Robertson, Elizabeth
Velvet Tobias
B: 1962-10-13
D: 2017-05-15
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Tobias, Velvet
Isaiah Trethewey
B: 1997-10-19
D: 2017-05-14
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Trethewey, Isaiah
Elizabeth Lopes
B: 1939-08-13
D: 2017-05-13
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Lopes, Elizabeth
Brenda Shores Sauni
B: 1958-11-09
D: 2017-05-12
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Shores Sauni, Brenda
Sylvia Cockett
B: 1953-08-15
D: 2017-05-11
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Cockett, Sylvia
Alta Coelho
B: 1926-08-10
D: 2017-05-11
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Coelho, Alta
Simione Vehikite
B: 1991-03-13
D: 2017-05-08
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Vehikite, Simione
Jesse Farrar
B: 1964-04-27
D: 2017-05-05
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Farrar, Jesse
Tinofa'atasi Milovale
B: 1950-12-18
D: 2017-05-05
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Milovale, Tinofa'atasi
Alvin Simon
B: 1933-07-00
D: 2017-05-04
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Simon, Alvin
Richard Banigan
B: 1935-01-11
D: 2017-05-03
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Banigan, Richard
Fabian Kalili
B: 1957-11-10
D: 2017-05-03
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Kalili, Fabian
Ernesto Elido
B: 1924-12-27
D: 2017-05-02
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Elido, Ernesto
Sialofi Mose
B: 1945-06-30
D: 2017-05-02
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Mose, Sialofi
Hazel Kaakimaka
B: 1925-09-16
D: 2017-04-26
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Kaakimaka, Hazel

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I. Biographical Information
Full Name:
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 You In Death
Your 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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