Obituaries

Susan Ryan
B: 1945-07-07
D: 2018-04-15
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Ryan, Susan
Janice Olson
B: 1957-01-19
D: 2018-04-13
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Olson, Janice
Mary Dufour
B: 1930-12-03
D: 2018-04-12
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Dufour, Mary
Craig Bobb
B: 1949-06-12
D: 2018-04-12
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Bobb, Craig
Wesley Mulder
D: 2018-04-12
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Mulder, Wesley
Gertrude Wamsley
B: 1919-12-24
D: 2018-04-07
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Wamsley, Gertrude
Andrew Leitheiser
B: 1961-09-18
D: 2018-04-07
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Leitheiser, Andrew
Corrine Bolin
D: 2018-04-07
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Bolin, Corrine
Susan Noegel
D: 2018-04-06
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Noegel, Susan
Kathleen Zier
D: 2018-04-05
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Zier, Kathleen
Irene Kostrau
B: 1939-02-02
D: 2018-04-05
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Kostrau, Irene
Glen Hafert
D: 2018-04-05
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Hafert, Glen
Harlow Stremke
B: 1942-09-08
D: 2018-04-04
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Stremke, Harlow
Kathryn Roxbury
D: 2018-04-04
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Roxbury, Kathryn
Ruth Schwartz
D: 2018-04-04
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Schwartz, Ruth
Timothy Koepke
B: 1951-07-10
D: 2018-04-03
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Koepke, Timothy
Joyce Talajkowski
B: 1931-08-21
D: 2018-04-01
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Talajkowski, Joyce
William Koestering
B: 1942-09-20
D: 2018-03-31
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Koestering, William
Patricia Towne
B: 1944-05-09
D: 2018-03-31
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Towne, Patricia
Michael Kopp
B: 1996-11-04
D: 2018-03-27
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Kopp, Michael
Roger Landvatter
B: 1937-11-23
D: 2018-03-26
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Landvatter, Roger

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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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