Obituaries

Marlene Witte
B: 1932-06-27
D: 2018-06-22
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Witte, Marlene
Jack Staehle
B: 1943-08-20
D: 2018-06-21
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Staehle, Jack
Kathryn Rausch
B: 1926-07-24
D: 2018-06-20
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Rausch, Kathryn
Janet Kraft
B: 1950-11-30
D: 2018-06-20
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Kraft, Janet
Gregory Gregoriou
B: 1960-09-12
D: 2018-06-18
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Gregoriou, Gregory
Georgeann Pasek
B: 1950-06-14
D: 2018-06-16
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Pasek, Georgeann
Lillian Boeker
B: 1922-12-02
D: 2018-06-12
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Boeker, Lillian
Angela Sheets
B: 1979-07-10
D: 2018-06-11
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Sheets, Angela
Ethelreda Weninger
B: 1926-10-19
D: 2018-06-10
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Weninger, Ethelreda
James Ostrander
B: 1933-02-24
D: 2018-06-08
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Ostrander, James
Wilmer Kannenberg
B: 1934-02-15
D: 2018-06-08
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Kannenberg, Wilmer
Norman Fehring
B: 1926-06-30
D: 2018-06-06
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Fehring, Norman
Robert Lucas
B: 1942-12-02
D: 2018-06-04
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Lucas, Robert
Gerald Simmelink
B: 1948-04-07
D: 2018-06-03
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Simmelink, Gerald
Catherine Holzbach
B: 1968-04-02
D: 2018-06-02
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Holzbach, Catherine
Elinor Kratz
B: 1932-06-30
D: 2018-05-30
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Kratz, Elinor
Natalie Johnson
B: 1923-10-30
D: 2018-05-29
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Johnson, Natalie
Henry Lauscher
B: 1932-10-30
D: 2018-05-29
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Lauscher, Henry
Merrill Hyde
B: 1924-06-04
D: 2018-05-29
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Hyde, Merrill
Donaleen Griesemer
B: 1930-01-12
D: 2018-05-28
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Griesemer, Donaleen
Maurice Bobholz
B: 1930-09-13
D: 2018-05-27
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Bobholz, Maurice

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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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