Obituaries

Charles Pipia
B: 1932-01-03
D: 2018-01-15
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Pipia, Charles
Eugene Haig
B: 1952-03-01
D: 2018-01-15
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Haig, Eugene
August Fechter
B: 1938-03-17
D: 2018-01-14
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Fechter, August
Mercedes Hetebrueg
B: 1929-06-26
D: 2018-01-13
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Hetebrueg, Mercedes
Dorothy Arndt
B: 1930-07-01
D: 2018-01-10
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Arndt, Dorothy
Teresa Peterson
D: 2018-01-09
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Peterson, Teresa
Sharon Lutz
D: 2018-01-08
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Lutz, Sharon
Cecil Brown
D: 2018-01-08
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Brown, Cecil
James Gadbois
D: 2018-01-08
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Gadbois, James
Donald Ledin
B: 1924-05-13
D: 2018-01-07
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Ledin, Donald
Horst Mitscherling
B: 1938-11-02
D: 2018-01-06
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Mitscherling, Horst
Robert Fessmann
B: 1930-10-25
D: 2018-01-04
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Fessmann, Robert
Francis Braun
B: 1926-12-11
D: 2018-01-03
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Braun, Francis
Clifford Williams
B: 1930-03-01
D: 2017-12-31
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Williams, Clifford
Mark Rosenthal
B: 1951-02-17
D: 2017-12-29
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Rosenthal, Mark
Beverly Staiduhar
B: 1927-02-15
D: 2017-12-26
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Staiduhar, Beverly
Wallie Weis
B: 1931-05-14
D: 2017-12-24
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Weis, Wallie
Fred Richie
B: 1925-10-24
D: 2017-12-23
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Richie, Fred
Richard Stoffel
D: 2017-12-21
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Stoffel, Richard
Gladys Schmidt
B: 1922-11-09
D: 2017-12-20
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Schmidt, Gladys
Janet Gilboy
B: 1937-10-13
D: 2017-12-20
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Gilboy, Janet

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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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