Obituaries

Florence Endres
B: 1924-02-03
D: 2018-11-17
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Endres, Florence
Michael Dassow
B: 1960-02-11
D: 2018-11-10
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Dassow, Michael
Gertrude Borusky
B: 1928-05-20
D: 2018-11-09
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Borusky, Gertrude
Randall Moericke
B: 1969-02-02
D: 2018-11-09
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Moericke, Randall
Joshua Kluwe
B: 1982-09-04
D: 2018-11-08
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Kluwe, Joshua
Virginia Gassel
B: 1960-12-03
D: 2018-11-06
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Gassel, Virginia
Daniel Kania
B: 1946-10-04
D: 2018-11-04
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Kania, Daniel
Olive Puestow
B: 1919-01-21
D: 2018-11-04
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Puestow, Olive
Aaron Backhaus
B: 1997-05-01
D: 2018-11-03
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Backhaus, Aaron
Nancy Dayton
D: 2018-11-02
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Dayton, Nancy
Donald Oppermann
D: 2018-11-02
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Oppermann, Donald
Sharon Teufel
B: 1952-06-30
D: 2018-11-02
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Teufel, Sharon
Sally Zeman
B: 1947-12-20
D: 2018-11-02
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Zeman, Sally
Milton Schmid
B: 1928-04-09
D: 2018-11-01
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Schmid, Milton
James Patten
B: 1944-01-14
D: 2018-11-01
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Patten, James
Jeffrey Markowski
B: 1954-12-09
D: 2018-10-31
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Markowski, Jeffrey
David Quello
B: 1947-10-27
D: 2018-10-29
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Quello, David
Eldon Hepner
B: 1929-10-21
D: 2018-10-28
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Hepner, Eldon
Shirley Thomson
B: 1932-10-04
D: 2018-10-27
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Thomson, Shirley
Gabriel Gorton
B: 2016-12-08
D: 2018-10-24
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Gorton, Gabriel
Jeffrey Verette
B: 1984-05-25
D: 2018-10-24
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Verette, Jeffrey

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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:

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