Obituaries

Verna Moe
B: 1934-04-09
D: 2017-03-19
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Moe, Verna
Rosemarie Van Moer
B: 1927-03-26
D: 2017-03-14
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Van Moer, Rosemarie
JoAnn Fier
B: 1951-04-18
D: 2017-03-07
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Fier, JoAnn
Alex Polfliet
D: 2017-03-01
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Polfliet, Alex
Kathleen Gawarecki
B: 1943-05-25
D: 2017-02-25
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Gawarecki, Kathleen
Jeannette Drown
B: 1939-08-18
D: 2017-02-22
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Drown, Jeannette
Marcella Traen
B: 1923-07-18
D: 2017-02-18
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Traen, Marcella
Eugene Lehnhoff
B: 1927-07-03
D: 2017-02-11
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Lehnhoff, Eugene
Eunice Gniffke
B: 1931-05-16
D: 2017-02-11
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Gniffke, Eunice
Gene Wolner
B: 1931-10-28
D: 2017-02-09
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Wolner, Gene
Vincent Bot
B: 1936-02-26
D: 2017-02-06
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Bot, Vincent
Alverna DeRoode
B: 1927-02-14
D: 2017-02-05
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DeRoode, Alverna
Bradford Claeys
D: 2017-02-03
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Claeys, Bradford
Norman Kruse
B: 1925-11-09
D: 2017-01-26
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Kruse, Norman
Willis Johnson
B: 1941-02-10
D: 2017-01-23
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Johnson, Willis
Kenneth Riecke
B: 1947-05-06
D: 2016-12-31
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Riecke, Kenneth
Lucile Blake
B: 1918-03-31
D: 2016-12-29
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Blake, Lucile
Kenneth Cole
D: 2016-12-28
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Cole, Kenneth
Carolyn Karels
B: 1939-12-13
D: 2016-12-26
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Karels, Carolyn
Jeannette Konold
B: 1936-07-12
D: 2016-12-25
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Konold, Jeannette
Jeanette Hegg
B: 1957-12-19
D: 2016-12-25
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Hegg, Jeanette

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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:
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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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