Obituaries

Robert Rodrigues
B: 1959-10-13
D: 2019-03-08
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Rodrigues, Robert
Georgette Young
B: 1955-03-22
D: 2018-06-29
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Young, Georgette
Juanita Nelson
B: 1927-12-12
D: 2018-06-28
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Nelson, Juanita
Miyoko Hoshida
B: 1934-05-04
D: 2018-06-26
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Hoshida, Miyoko
Mulinuu Faleafaga
B: 1947-07-07
D: 2018-06-22
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Faleafaga, Mulinuu
Carl Kruse
B: 1956-12-23
D: 2018-06-20
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Kruse, Carl
Lonnie Canete
B: 1953-03-03
D: 2018-06-19
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Canete, Lonnie
Dover Beavers
B: 1932-09-21
D: 2018-06-17
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Beavers, Dover
Vernie Tailele
B: 1962-12-18
D: 2018-06-16
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Tailele, Vernie
Alberto Ibe
B: 1934-04-08
D: 2018-06-14
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Ibe, Alberto
Charles Kuia
B: 1952-01-20
D: 2018-06-14
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Kuia, Charles
May Mason
B: 1940-05-13
D: 2018-06-12
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Mason, May
Jay Hurley
B: 1942-01-01
D: 2018-06-10
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Hurley, Jay
Paul Barber
B: 1958-02-16
D: 2018-06-10
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Barber, Paul
Wailani Bell
B: 1931-05-07
D: 2018-06-09
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Bell, Wailani
Clayton Mahuka
B: 1944-08-02
D: 2018-06-07
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Mahuka, Clayton
Angelina Balicoco
B: 1952-06-07
D: 2018-06-06
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Balicoco, Angelina
Curtis Amaral
B: 1962-05-23
D: 2018-06-05
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Amaral, Curtis
Dennis Iaea
B: 1958-12-05
D: 2018-06-05
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Iaea, Dennis
David Leonard
B: 1945-04-15
D: 2018-06-04
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Leonard, David
Conrad Silva
B: 1975-05-10
D: 2018-06-02
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Silva, Conrad

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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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