Obituaries

Stanley Czenczek
B: 1932-07-09
D: 2019-08-17
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Czenczek, Stanley
Doris Kennedy
B: 1925-07-12
D: 2019-08-13
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Kennedy, Doris
Mabel Daugaard
B: 1943-12-22
D: 2019-08-07
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Daugaard, Mabel
Betty Crump
B: 1940-05-22
D: 2019-08-02
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Crump, Betty
Jean Kruse
B: 1941-09-11
D: 2019-07-28
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Kruse, Jean
Charles Valiska
B: 1928-05-22
D: 2019-07-20
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Valiska, Charles
Beverly Parkinson
B: 1930-04-15
D: 2019-07-19
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Parkinson, Beverly
Robert Koskey
B: 1935-02-06
D: 2019-07-18
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Koskey, Robert
Stephen Hautzinger
B: 1933-05-19
D: 2019-07-13
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Hautzinger, Stephen
Glenwyn Johnson
B: 1938-02-23
D: 2019-07-05
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Johnson, Glenwyn
Myron Akey
B: 1941-07-30
D: 2019-07-02
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Akey, Myron
Vivian Berger
B: 1935-09-09
D: 2019-06-24
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Berger, Vivian
Irene Swatloski
B: 1921-06-18
D: 2019-06-22
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Swatloski, Irene
Edward McHugh
B: 1951-11-09
D: 2019-06-19
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McHugh, Edward
Elsie Krukowski
B: 1932-10-20
D: 2019-06-16
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Krukowski, Elsie
Patricia Byrka
B: 1932-02-21
D: 2019-06-16
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Byrka, Patricia
Heidi Pecha
B: 1976-07-17
D: 2019-06-15
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Pecha, Heidi
James Linden
B: 1949-11-13
D: 2019-06-07
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Linden, James
Rev. Norman Boneck
B: 1936-08-20
D: 2019-06-06
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Boneck, Rev. Norman
Jeanette Jirgl
B: 1938-10-29
D: 2019-05-18
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Jirgl, Jeanette
Alice Whitmore
B: 1937-04-13
D: 2019-05-07
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Whitmore, Alice

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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

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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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