Obituaries

Donald Bloomgren
B: 1930-10-23
D: 2017-10-20
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Bloomgren, Donald
Kyle Boucher
B: 1985-01-26
D: 2017-10-18
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Boucher, Kyle
Shirley Aurell
B: 1934-07-21
D: 2017-10-18
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Aurell, Shirley
Samuel Clifton
B: 1947-08-07
D: 2017-10-17
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Clifton, Samuel
Cody Nelson
B: 1987-08-05
D: 2017-10-17
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Nelson, Cody
Ruth Weishaar
B: 1928-04-23
D: 2017-10-16
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Weishaar, Ruth
Hannelore Snyder
B: 1940-08-07
D: 2017-10-15
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Snyder, Hannelore
Dennis Nussbaum
B: 1948-09-27
D: 2017-10-15
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Nussbaum, Dennis
Jackie Fanning
B: 1957-01-17
D: 2017-10-14
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Fanning, Jackie
Terance Gillham
B: 1948-09-06
D: 2017-10-14
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Gillham, Terance
Joyce Schroeder
B: 1939-10-18
D: 2017-10-13
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Schroeder, Joyce
Ronald Marx
B: 1961-07-13
D: 2017-10-13
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Marx, Ronald
Candace Reeves
B: 1951-07-02
D: 2017-10-11
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Reeves, Candace
Dwight Green
B: 1945-08-13
D: 2017-10-10
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Green, Dwight
M. Wayne Schulze
B: 1930-08-17
D: 2017-10-08
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Schulze, M. Wayne
Daryl Bright
B: 1950-08-14
D: 2017-10-08
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Bright, Daryl
Michael McHenry
B: 1960-01-15
D: 2017-10-08
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McHenry, Michael
Janet McCarty
B: 1958-01-13
D: 2017-10-07
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McCarty, Janet
Robert Benson
B: 1932-06-03
D: 2017-10-07
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Benson, Robert
Janice Schneider
B: 1929-03-08
D: 2017-10-07
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Schneider, Janice
Dan Drummond
B: 1946-09-22
D: 2017-10-07
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Drummond, Dan

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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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