Obituaries

Janelle Radant
B: 1963-05-04
D: 2020-05-30
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Radant, Janelle
Elaine Hanson
B: 1937-08-26
D: 2020-05-26
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Hanson, Elaine
Jacob Harrington
B: 1989-05-06
D: 2020-05-24
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Harrington, Jacob
Rainer Nyman
B: 1945-11-20
D: 2020-05-13
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Nyman, Rainer
Elaine Lang
B: 1946-03-19
D: 2020-05-12
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Lang, Elaine
Gerald Trudell
B: 1933-12-21
D: 2020-05-06
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Trudell, Gerald
Julie Martin
B: 1970-04-08
D: 2020-05-06
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Martin, Julie
Howard Zell
B: 1931-10-17
D: 2020-05-04
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Zell, Howard
Jerome Krieg
B: 1931-11-17
D: 2020-04-25
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Krieg, Jerome
Phyllis Klinger
B: 1938-12-05
D: 2020-04-23
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Klinger, Phyllis
Sara Stark
B: 1935-01-07
D: 2020-04-11
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Stark, Sara
Dolores Kopchinski
B: 1926-06-17
D: 2020-04-08
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Kopchinski, Dolores
Charlene Rozak
B: 1933-02-25
D: 2020-04-06
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Rozak, Charlene
V. George Harvanek
B: 1945-04-02
D: 2020-04-05
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Harvanek, V. George
Julia Carrigan
B: 1955-02-11
D: 2020-03-27
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Carrigan, Julia
Raymond Kowalski
B: 1938-06-12
D: 2020-03-21
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Kowalski, Raymond
Mark Gertschen
B: 1955-10-10
D: 2020-03-19
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Gertschen, Mark
David Kuyoth
B: 1944-05-30
D: 2020-03-16
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Kuyoth, David
Scott Pozorski
B: 1957-09-05
D: 2020-03-11
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Pozorski, Scott
Eleanor Jachec
B: 1928-06-07
D: 2020-03-04
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Jachec, Eleanor
Donald Guenther
B: 1924-04-15
D: 2020-03-02
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Guenther, Donald

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MOSINEE, WI 54455
Phone: (715) 693-2450
Fax: (715) 693-2457

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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:

Miscellaneous Notes and Instructions:

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