Obituaries

Theresa Fochs
B: 1938-10-03
D: 2019-04-18
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Fochs, Theresa
Raymond Zimmerman Jr.
B: 1930-01-10
D: 2019-04-17
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Zimmerman Jr., Raymond
Nicholas Cafarella
B: 1934-01-28
D: 2019-04-13
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Cafarella, Nicholas
Patricia Raymond
B: 1936-04-04
D: 2019-04-13
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Raymond, Patricia
Patrick Patton
B: 1949-01-29
D: 2019-04-11
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Patton, Patrick
Hugh Henke
B: 1937-01-13
D: 2019-04-05
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Henke, Hugh
Esther Ceresero
B: 1922-06-13
D: 2019-03-24
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Ceresero, Esther
Betty Weigel
B: 1924-11-08
D: 2019-03-23
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Weigel, Betty
George Zywicki
B: 1934-10-03
D: 2019-03-14
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Zywicki, George
Galen Parkinson
B: 1929-08-17
D: 2019-03-06
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Parkinson, Galen
Darryl Neumann
B: 1941-03-19
D: 2019-03-04
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Neumann, Darryl
Walter Rozella
B: 1927-03-20
D: 2019-02-26
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Rozella, Walter
Roman "Romie" Schedlo
B: 1940-01-29
D: 2019-02-25
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Schedlo, Roman "Romie"
Lynn Will
B: 1948-08-10
D: 2019-02-24
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Will, Lynn
John Ostrowski
B: 1947-12-08
D: 2019-02-10
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Ostrowski, John
Sophie Ciula
B: 1921-05-18
D: 2019-02-10
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Ciula, Sophie
David Dalton
B: 1932-06-06
D: 2019-01-26
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Dalton, David
Armin Boehm
B: 1924-05-03
D: 2019-01-24
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Boehm, Armin
Lucille Stankowski
B: 1924-12-16
D: 2019-01-24
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Stankowski, Lucille
Jonas Ellwart
B: 1969-11-06
D: 2019-01-23
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Ellwart, Jonas
Helen Brandherm
B: 1926-04-27
D: 2019-01-01
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Brandherm, Helen

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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:
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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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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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