Obituaries

George Nelson
B: 1940-07-27
D: 2018-04-23
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Nelson, George
Gail Noske
B: 1932-05-10
D: 2018-04-17
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Noske, Gail
Kenneth Clemens
B: 1960-12-15
D: 2018-04-16
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Clemens, Kenneth
George Niles
B: 1932-01-28
D: 2018-04-12
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Niles, George
Elizabeth John
B: 1953-05-29
D: 2018-04-05
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John, Elizabeth
William Edwards
B: 1924-07-02
D: 2018-04-03
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Edwards, William
Charles Yeager
B: 1920-09-02
D: 2018-03-30
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Yeager, Charles
Elizabeth Congdon
B: 1933-02-08
D: 2018-03-28
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Congdon, Elizabeth
Doris Baker
B: 1930-07-01
D: 2018-03-26
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Baker, Doris
Frances Morsberger
B: 1934-02-12
D: 2018-03-22
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Morsberger, Frances
Richard Brown
B: 1940-12-14
D: 2018-03-21
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Brown, Richard
Bernard Gehring
B: 1946-11-24
D: 2018-03-18
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Gehring, Bernard
Gary Weer
B: 1949-12-27
D: 2018-03-16
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Weer, Gary
Frances Ichniowski
B: 1927-08-05
D: 2018-03-16
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Ichniowski, Frances
Cullen Hofmann
B: 1966-04-16
D: 2018-03-14
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Hofmann, Cullen
Dorothy Darney
B: 1926-06-03
D: 2018-03-11
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Darney, Dorothy
Betty Diehl
B: 1931-09-22
D: 2018-03-10
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Diehl, Betty
Margaret Knoedler
B: 1928-12-24
D: 2018-03-10
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Knoedler, Margaret
Doris Slivey
B: 1929-08-17
D: 2018-03-05
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Slivey, Doris
Edward Rivard
B: 1943-07-22
D: 2018-03-02
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Rivard, Edward
Betty Baumann
B: 1941-12-10
D: 2018-03-02
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Baumann, Betty

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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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