Obituaries

Raymond Koss
B: 1925-11-13
D: 2020-08-08
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Koss, Raymond
Bette Gordon
B: 1933-06-26
D: 2020-07-30
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Gordon, Bette
Brian Boehm
B: 1961-06-18
D: 2020-07-28
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Boehm, Brian
Carol Williams
B: 1939-07-06
D: 2020-07-26
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Williams, Carol
James Parkinson
B: 1956-07-12
D: 2020-07-22
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Parkinson, James
Donald Connick
B: 1955-07-28
D: 2020-07-20
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Connick, Donald
Agnes Kukuczka
B: 1924-08-09
D: 2020-07-11
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Kukuczka, Agnes
Nancy Ganser
B: 1945-02-11
D: 2020-07-09
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Ganser, Nancy
Donald Baumann
B: 1935-09-19
D: 2020-07-08
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Baumann, Donald
James Engelson
B: 1943-04-08
D: 2020-06-29
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Engelson, James
Derek Wilke
B: 1977-01-04
D: 2020-06-22
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Wilke, Derek
Patricia Drake
B: 1939-02-26
D: 2020-06-13
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Drake, Patricia
Robert Ganser
B: 1965-03-08
D: 2020-06-06
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Ganser, Robert
Delores Spatz
B: 1937-03-20
D: 2020-05-31
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Spatz, Delores
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

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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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