Obituaries

Bernice Jablonski
B: 1916-06-15
D: 2018-12-10
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Jablonski, Bernice
Richard Kostecki
B: 1935-02-06
D: 2018-12-04
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Kostecki, Richard
Arnold Kennedy
B: 1934-05-05
D: 2018-11-30
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Kennedy, Arnold
Leona Meis
B: 1942-01-28
D: 2018-11-29
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Meis, Leona
Janet Vander Waal
B: 1959-08-04
D: 2018-11-29
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Vander Waal, Janet
Loretta Gunseor
B: 1929-09-12
D: 2018-11-20
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Gunseor, Loretta
Frank Filtz
B: 1947-07-06
D: 2018-11-18
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Filtz, Frank
Leonard Jagler
B: 1930-02-07
D: 2018-11-06
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Jagler, Leonard
John Valenta
B: 1935-09-22
D: 2018-11-05
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Valenta, John
Vera Krieg
B: 1925-03-11
D: 2018-11-02
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Krieg, Vera
Dorothy Thrun
B: 1930-04-24
D: 2018-11-02
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Thrun, Dorothy
Robert Schipferling
B: 1931-05-01
D: 2018-11-01
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Schipferling, Robert
Florence Ropel
B: 1926-04-18
D: 2018-10-31
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Ropel, Florence
Stephen Hughes
B: 1942-12-02
D: 2018-10-30
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Hughes, Stephen
Arla Oelke
B: 1939-01-05
D: 2018-10-28
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Oelke, Arla
Jeffrey Yirkovsky
B: 1965-02-06
D: 2018-10-16
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Yirkovsky, Jeffrey
Dennis Slivicki
B: 1938-08-13
D: 2018-10-16
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Slivicki, Dennis
Adam Petroski
B: 1984-11-06
D: 2018-10-10
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Petroski, Adam
Donna Mueller
B: 1934-03-25
D: 2018-10-07
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Mueller, Donna
James Denzine
B: 1946-10-20
D: 2018-09-26
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Denzine, James
Thomas Bush
B: 1942-01-27
D: 2018-09-26
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Bush, Thomas

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MOSINEE, WI 54455
Phone: (715) 693-2450
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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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