Obituaries

Angela Qualle
B: 1964-11-24
D: 2017-06-21
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Qualle, Angela
Gerald Franceen
B: 1933-06-16
D: 2017-06-18
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Franceen, Gerald
William Nowicki
B: 1953-03-06
D: 2017-06-18
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Nowicki, William
Bernice Hoekstra
B: 1919-04-28
D: 2017-06-08
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Hoekstra, Bernice
Alice Becht
B: 1933-06-04
D: 2017-06-07
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Becht, Alice
Jerome Brelje
B: 1957-01-15
D: 2017-06-06
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Brelje, Jerome
Shirley Dahm
B: 1925-06-21
D: 2017-06-05
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Dahm, Shirley
Adelia Miller
B: 1920-05-14
D: 2017-06-03
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Miller, Adelia
Janice Preble
B: 1942-08-13
D: 2017-05-26
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Preble, Janice
Ronald Fjerstad
B: 1947-11-12
D: 2017-05-17
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Fjerstad, Ronald
Eldon Keehr
B: 1929-10-10
D: 2017-05-16
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Keehr, Eldon
Tony Onischuk
B: 1924-11-25
D: 2017-05-11
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Onischuk, Tony
James Albrecht
B: 1980-01-25
D: 2017-05-07
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Albrecht, James
Alexander Dunlop
B: 1932-02-23
D: 2017-05-02
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Dunlop, Alexander
Vera Kopp
B: 1936-10-21
D: 2017-04-29
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Kopp, Vera
Doreen Hulse
B: 1932-03-29
D: 2017-04-25
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Hulse, Doreen
Eleanor Stephens
B: 1923-02-28
D: 2017-04-20
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Stephens, Eleanor
Franklin Funes
B: 1933-03-30
D: 2017-04-19
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Funes, Franklin
Myles Voracek
B: 1930-08-14
D: 2017-04-14
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Voracek, Myles
Janis Maas
B: 1955-03-06
D: 2017-04-12
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Maas, Janis
Doris Henry
B: 1936-07-10
D: 2017-04-09
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Henry, Doris

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South St. Paul, MN 55075
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:
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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