Obituaries

Arlene Verkinderen
B: 1937-11-27
D: 2018-07-20
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Verkinderen, Arlene
Dean Wimmergren
B: 1939-07-03
D: 2018-07-17
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Wimmergren, Dean
Karen Hoekstra
B: 1959-00-00
D: 2018-07-13
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Hoekstra, Karen
Mary Fier
B: 1921-01-23
D: 2018-07-10
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Fier, Mary
John Nuy
B: 1957-10-07
D: 2018-07-10
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Nuy, John
Robert Tholen
B: 1931-09-19
D: 2018-07-10
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Tholen, Robert
Earl LaVoy
B: 1916-11-05
D: 2018-07-06
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LaVoy, Earl
Shirlee Bailey
B: 1932-09-06
D: 2018-07-04
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Bailey, Shirlee
Bernice Logue
B: 1927-09-30
D: 2018-06-29
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Logue, Bernice
Daniel Matthys
B: 1964-01-02
D: 2018-06-28
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Matthys, Daniel
Robert Hirmer
B: 1929-01-30
D: 2018-06-24
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Hirmer, Robert
Joan Halverson
B: 1937-10-05
D: 2018-06-23
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Halverson, Joan
Delores Seifert
B: 1930-10-12
D: 2018-06-22
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Seifert, Delores
John Brewers
B: 1936-06-17
D: 2018-06-13
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Brewers, John
Stacy Brewers
B: 1970-08-26
D: 2018-05-27
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Brewers, Stacy
Vincent Boerboom
B: 1923-11-01
D: 2018-05-23
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Boerboom, Vincent
Raymond "Ray" Thooft
B: 1933-05-22
D: 2018-05-22
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Thooft, Raymond "Ray"
Gloria VanDenBroeke
B: 1960-05-20
D: 2018-05-09
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VanDenBroeke, Gloria
Francis Downing
B: 1949-10-26
D: 2018-05-05
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Downing, Francis
Robert Almich
B: 1937-09-28
D: 2018-05-03
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Almich, Robert
Anthony Kopka
B: 1927-08-31
D: 2018-05-02
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Kopka, Anthony

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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:

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