Obituaries

Marian Bester
B: 1925-12-04
D: 2017-12-15
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Bester, Marian
James Nichols
B: 1930-09-21
D: 2017-12-14
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Nichols, James
Gary Schlomka
B: 1937-09-29
D: 2017-12-11
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Schlomka, Gary
Robert Ista
B: 1930-02-11
D: 2017-12-08
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Ista, Robert
Virginia Hirte
B: 1924-11-13
D: 2017-12-02
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Hirte, Virginia
Walter Hamann
B: 1937-07-09
D: 2017-11-27
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Hamann, Walter
Lavonne DeMent
B: 1928-02-01
D: 2017-11-26
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DeMent, Lavonne
Robert Fischer
B: 1960-02-23
D: 2017-11-25
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Fischer, Robert
Lee Matejka
B: 1961-06-19
D: 2017-11-24
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Matejka, Lee
Nancy Martin
B: 1951-05-21
D: 2017-11-21
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Martin, Nancy
Marlene Ecker
B: 1937-09-30
D: 2017-11-19
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Ecker, Marlene
David Pietruszewski
B: 1962-01-10
D: 2017-11-19
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Pietruszewski, David
Reidun Henrickson
B: 1983-05-10
D: 2017-11-19
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Henrickson, Reidun
Betty Stapp
B: 1925-10-01
D: 2017-11-14
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Stapp, Betty
Mary Koshan
B: 1942-03-24
D: 2017-11-12
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Koshan, Mary
Wesley Paulus
B: 1926-05-05
D: 2017-11-07
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Paulus, Wesley
Marilyn Cole
B: 1931-12-23
D: 2017-10-28
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Cole, Marilyn
Erwin Johnson
B: 1928-04-05
D: 2017-10-28
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Johnson, Erwin
Ervin Dullinger
B: 1937-12-15
D: 2017-10-28
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Dullinger, Ervin
Declan Brady
B: 1970-11-25
D: 2017-10-25
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Brady, Declan
Janet Mickelson
B: 1931-11-08
D: 2017-10-20
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Mickelson, Janet

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Phone: 651-455-5352
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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:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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