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


Betty Taylor
D: 2018-03-17
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Taylor, Betty
John Pounds
B: 1948-01-16
D: 2018-03-14
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Pounds, John
Lionel Fleming
B: 1957-07-18
D: 2018-02-27
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Fleming, Lionel
Pauline Harris
B: 1969-01-27
D: 2018-02-27
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Harris, Pauline
Margaret Simpson
B: 1938-10-07
D: 2018-02-24
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Simpson, Margaret
David Bucad
B: 1924-06-26
D: 2018-02-21
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Bucad, David
Samuel Davis
B: 1962-04-14
D: 2018-02-20
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Davis, Samuel
Yaphette Johnson
B: 1993-02-22
D: 2018-02-18
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Johnson, Yaphette
Marsha Sherfield
B: 1965-03-15
D: 2018-02-18
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Sherfield, Marsha
John Davis
B: 1928-07-15
D: 2018-02-17
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Davis, John
Lisa Vickrey
B: 1961-06-01
D: 2018-02-15
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Vickrey, Lisa
Rayshauna Roy
B: 1984-07-24
D: 2018-02-09
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Roy, Rayshauna
Arnold Harris
B: 1944-08-10
D: 2018-02-01
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Harris, Arnold
Khalil Clark
B: 2003-07-20
D: 2018-01-31
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Clark, Khalil
Sample Contract
D: 2018-01-30
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Contract, Sample
Alonzo Traylor
B: 1944-07-26
D: 2018-01-23
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Traylor, Alonzo
Reginald Kemp
B: 1966-07-30
D: 2018-01-20
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Kemp, Reginald
Adolfo Alvarez
B: 2001-04-02
D: 2018-01-18
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Alvarez, Adolfo
Adela Moore
B: 1976-01-03
D: 2018-01-18
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Moore, Adela
Johnnie McConnell
B: 1930-02-28
D: 2018-01-15
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McConnell, Johnnie
Neressia Samuels-Carr
B: 1938-01-11
D: 2018-01-13
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Samuels-Carr, Neressia


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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:
City Name:
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
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record
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:
Person in Charge of Arrangements:
Officiating Clergy:
Flower Preference:
Music Selection:
Casket Preference:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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