Obituaries

Ione Schopen
B: 1940-08-02
D: 2017-11-18
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Schopen, Ione
Robert Mattke
B: 1955-06-26
D: 2017-11-15
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Mattke, Robert
Norma Elgas
B: 1928-08-03
D: 2017-11-12
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Elgas, Norma
Forrest Haggerty
B: 1932-04-13
D: 2017-11-07
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Haggerty, Forrest
Judy Richards
B: 1943-05-08
D: 2017-11-03
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Richards, Judy
Dean Stephan
B: 1937-01-22
D: 2017-10-29
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Stephan, Dean
Beatrice Meske
B: 1925-06-05
D: 2017-10-23
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Meske, Beatrice
William Schmoldt
B: 1952-06-11
D: 2017-10-13
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Schmoldt, William
Gerald Adsit
B: 1955-11-08
D: 2017-10-12
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Adsit, Gerald
James Jacobson
B: 1964-04-11
D: 2017-10-08
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Jacobson, James
Gladys Rueth
B: 1926-06-29
D: 2017-10-07
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Rueth, Gladys
Rosalie Wilinski
B: 1927-04-06
D: 2017-10-05
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Wilinski, Rosalie
Karen Chwala
B: 1940-10-19
D: 2017-10-05
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Chwala, Karen
Oscar Brignoni
B: 1929-10-07
D: 2017-10-05
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Brignoni, Oscar
Delores Skrobak
B: 1925-10-19
D: 2017-10-01
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Skrobak, Delores
Louis Ehmcke
B: 1935-10-18
D: 2017-09-28
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Ehmcke, Louis
Braxton Eikland
B: 2017-09-19
D: 2017-09-20
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Eikland, Braxton
Jonathan Bouchette
B: 1963-06-15
D: 2017-09-10
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Bouchette, Jonathan
Robert Wolever
B: 1964-01-31
D: 2017-09-07
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Wolever, Robert
Paul Schroedl
B: 1931-12-17
D: 2017-08-19
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Schroedl, Paul
Lorraine Ridgeman
B: 1943-10-03
D: 2017-08-14
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Ridgeman, Lorraine

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Phone: 920-674-3960
Fax: 920-674-6446

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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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