Heritage Mortuary, Inc, Funeral Homes, Las Vegas, NV

Obituaries

Ethel Jackson
D: 2018-05-14
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Jackson, Ethel
Kaiden Montgomery
D: 2018-05-12
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Montgomery, Kaiden
Brandon Payton
B: 1984-09-21
D: 2018-05-12
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Payton, Brandon
Johnnie Gray
D: 2018-05-11
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Gray, Johnnie
Bettie Marve
B: 1930-10-07
D: 2018-05-02
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Marve, Bettie
Dorothy Thomas
B: 1941-05-03
D: 2018-04-24
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Thomas, Dorothy
Olin Mayfield
B: 1958-09-26
D: 2018-04-23
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Mayfield, Olin
Crystal Mancha
B: 1985-04-10
D: 2018-04-16
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Mancha, Crystal
DeShawn White
B: 1968-09-09
D: 2018-04-14
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White, DeShawn
Katherine Foger
D: 2018-04-11
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Foger, Katherine
Phillip Tate
B: 1949-01-20
D: 2018-04-09
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Tate, Phillip
Charles Winston
B: 1953-04-11
D: 2018-04-08
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Winston, Charles
Frederic Weems
B: 1963-07-16
D: 2018-04-08
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Weems, Frederic
Johnny Cross
B: 1953-09-28
D: 2018-04-07
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Cross, Johnny
Tito Clores
B: 1933-09-27
D: 2018-04-06
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Clores, Tito
Mae Hayes
B: 1937-11-06
D: 2018-04-03
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Hayes, Mae
Alvin Allen
B: 1941-11-11
D: 2018-03-28
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Allen, Alvin
Dorothy Szues
B: 1944-05-05
D: 2018-03-22
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Szues, Dorothy
Rondell Scott
B: 1985-03-13
D: 2018-03-22
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Scott, Rondell
Bianca Martin
B: 1986-07-07
D: 2018-03-21
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Martin, Bianca
Betty Taylor
D: 2018-03-17
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Taylor, Betty

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3610 North Rancho Drive
Las Vegas, NV 89130
Phone: 702-852-1464
Fax: 702-947-4649

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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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