Obituaries

Susan Flores
B: 1955-10-01
D: 2017-07-21
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Flores, Susan
Joyce Russell
B: 1934-01-07
D: 2017-07-18
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Russell, Joyce
Peter Lyssy
B: 1929-05-19
D: 2017-07-16
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Lyssy, Peter
Cleo Mungia
B: 1957-05-06
D: 2017-07-15
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Mungia, Cleo
Kimberly Friederick
B: 1963-09-05
D: 2017-07-13
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Friederick, Kimberly
Elmer Flowers, Sr.
B: 1929-04-17
D: 2017-07-12
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Flowers, Sr., Elmer
Elorine Borgfeld
B: 1922-02-08
D: 2017-07-12
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Borgfeld, Elorine
Otis Pattillo
B: 1931-05-23
D: 2017-07-11
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Pattillo, Otis
Terri Pawelek
B: 1954-10-24
D: 2017-07-10
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Pawelek, Terri
Catherine Waltman
B: 1927-04-23
D: 2017-07-09
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Waltman, Catherine
Francisco Rodriguez
B: 1929-07-21
D: 2017-07-04
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Rodriguez, Francisco
Adela Alvarado
B: 1940-01-08
D: 2017-07-04
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Alvarado, Adela
Elva Cano
B: 1940-04-10
D: 2017-06-30
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Cano, Elva
Hugh Fritsch
B: 1939-08-29
D: 2017-06-25
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Fritsch, Hugh
Clydell Witte
B: 1921-06-18
D: 2017-06-25
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Witte, Clydell
Jean Sordahl
B: 1946-11-08
D: 2017-06-23
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Sordahl, Jean
Robert Boysen
B: 1921-12-07
D: 2017-06-23
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Boysen, Robert
Evelyn Georg
B: 1931-09-12
D: 2017-06-22
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Georg, Evelyn
Donald Strackbein
B: 1935-07-22
D: 2017-06-21
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Strackbein, Donald
Jimmie Kepler
B: 1927-06-22
D: 2017-06-21
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Kepler, Jimmie
Gary Haas
B: 1951-06-21
D: 2017-06-20
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Haas, Gary

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308 East Third Street
P.O. Box 427
Nixon, TX 78140
Phone: 830-582-1521
Fax: 830-582-1439

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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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