Obituaries

Alice Beernaert
B: 1919-07-02
D: 2018-02-22
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Beernaert, Alice
Neil "Budd" Medrud
B: 1927-05-30
D: 2018-02-22
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Medrud, Neil "Budd"
Virgil Wenker
B: 1936-02-06
D: 2018-02-19
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Wenker, Virgil
John "Jack" Rhymer
D: 2018-02-18
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Rhymer, John "Jack"
Melanie Haggard
D: 2018-02-11
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Haggard, Melanie
Wendy Eischens
B: 1954-02-16
D: 2018-02-10
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Eischens, Wendy
Jacquelyn Johnson
B: 1951-10-07
D: 2018-02-04
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Johnson, Jacquelyn
Randall Marcotte
B: 1957-04-21
D: 2018-02-03
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Marcotte, Randall
Grace Koch
B: 1928-07-28
D: 2018-02-02
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Koch, Grace
Cheri Buysse
B: 1960-08-22
D: 2018-02-02
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Buysse, Cheri
Ethel Johnson
B: 1931-11-25
D: 2018-01-31
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Johnson, Ethel
Betty Brey
B: 1942-06-08
D: 2018-01-18
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Brey, Betty
Leona Noyes
B: 1928-08-06
D: 2018-01-14
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Noyes, Leona
Georgie Ann "Hon” Mortier
B: 1936-01-22
D: 2018-01-14
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Mortier, Georgie Ann "Hon”
Keenan Maxwell
D: 2018-01-12
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Maxwell, Keenan
David Norman
B: 1985-04-23
D: 2018-01-11
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Norman, David
Norman Van Overbeke
B: 1948-06-01
D: 2018-01-07
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Van Overbeke, Norman
Bernice Antony
B: 1929-01-05
D: 2018-01-06
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Antony, Bernice
Joseph VanDePutte
B: 1958-11-03
D: 2018-01-06
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VanDePutte, Joseph
Margaret Callens
B: 1922-12-18
D: 2018-01-05
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Callens, Margaret
Conrad Hennen
B: 1933-06-22
D: 2018-01-04
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Hennen, Conrad

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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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