Obituaries

Gerald Henckel
B: 1938-09-07
D: 2018-09-19
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Henckel, Gerald
Paul Wilde
B: 1928-04-10
D: 2018-09-19
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Wilde, Paul
William Josten
B: 1936-03-25
D: 2018-09-16
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Josten, William
Drue Slavic
B: 1937-03-25
D: 2018-09-16
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Slavic, Drue
Augie Wilks
B: 1938-07-18
D: 2018-09-14
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Wilks, Augie
James Hefter
B: 1951-04-01
D: 2018-09-12
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Hefter, James
Marie Philippi
B: 1963-03-01
D: 2018-09-10
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Philippi, Marie
Thomas Werner
B: 1927-12-27
D: 2018-09-09
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Werner, Thomas
Barry Doering
B: 1960-07-09
D: 2018-09-08
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Doering, Barry
Sandy Sprinkmann
B: 1964-10-10
D: 2018-09-07
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Sprinkmann, Sandy
Dolores Heppe
B: 1927-09-04
D: 2018-09-05
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Heppe, Dolores
Janice Styberg
B: 1946-12-09
D: 2018-09-01
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Styberg, Janice
Wanda Harvie
B: 1925-09-07
D: 2018-09-01
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Harvie, Wanda
Walter Christie
B: 1930-02-09
D: 2018-08-31
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Christie, Walter
Dolores Mayer
B: 1939-03-13
D: 2018-08-27
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Mayer, Dolores
Betty Fligge
B: 1924-10-29
D: 2018-08-27
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Fligge, Betty
Theodora Phillips
B: 1928-12-04
D: 2018-08-26
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Phillips, Theodora
Linda Sponholz
B: 1921-01-17
D: 2018-08-25
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Sponholz, Linda
Shirley Kilcourse
B: 1925-02-16
D: 2018-08-24
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Kilcourse, Shirley
Genevieve Johnson
B: 1919-11-24
D: 2018-08-21
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Johnson, Genevieve
Laverne McIntee
B: 1927-07-17
D: 2018-08-20
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McIntee, Laverne

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West Bend, WI 53095
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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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