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VITAL STATISTICS
DECEASED NAME
If Hospital
Inp
E.R.
DOA
Hispanic Origin
Yes
No
Sex
Male
Female
Marital Status
Married
Divorced
Single
Widowed
Inside City Limits
Yes
No
Autopsy
Yes
No
Referred to Coroner
Yes
No
I certify that the above information is correct
(signature in box)
OBITUARY INFORMATION
Picture
Yes
No
Survivors (Name and Place of Residence)
Picture Upload
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SUBSCRIBE TO OBITUARY NOTIFICATIONS
Home
About Us
Our Heritage
Our Locations
Our Staff
Testimonials
Event Centers
Obituaries
General Price List
Sierra Chapel
O’Brien-Rogers & Crosby
Ross, Burke & Knobel
Sparks
Chapel of the Valley
Gardnerville
Urn Catalog
Service Options
Our Services
Service Packages
Personalization
Immediate Need
Forms
Pre-Planning
About Pre-Planning
Resources
Local Grief Resources
Legal & Estate Guidance
FAQ
FEMA Funeral Assistance program
Local Hospices
Subscribe
Contact Us
