Obituaries

Stanley Brokaw
B: 1946-12-01
D: 2024-06-13
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Brokaw, Stanley
Edward Roland Becker
B: 1938-10-15
D: 2024-06-13
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Becker, Edward Roland
Tod Kendall
B: 1959-06-21
D: 2024-06-12
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Kendall, Tod
Rosaline Christian
B: 1927-04-30
D: 2024-06-12
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Christian, Rosaline
Gerald Rolfes
B: 1937-08-29
D: 2024-06-09
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Rolfes, Gerald
Vicky Kohl
B: 1951-01-30
D: 2024-06-09
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Kohl, Vicky
Corrine Abella
B: 1934-10-29
D: 2024-06-06
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Abella, Corrine
Michael Merz
B: 1948-04-25
D: 2024-06-06
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Merz, Michael
John Iglar
B: 1933-06-21
D: 2024-06-05
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Iglar, John
Denny Egbers
B: 1941-06-01
D: 2024-06-04
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Egbers, Denny
Thomas McOwen
B: 1943-12-19
D: 2024-06-04
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McOwen, Thomas
Richard Pelcha
B: 1980-08-06
D: 2024-06-03
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Pelcha, Richard
Stuart Carey
B: 1933-05-17
D: 2024-06-03
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Carey, Stuart
Gregory Loos
B: 1949-07-14
D: 2024-06-03
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Loos, Gregory
Robert Emery Jr.
B: 1931-09-22
D: 2024-06-02
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Emery Jr., Robert
Grace Cook
B: 1922-10-14
D: 2024-06-02
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Cook, Grace
Mary Jean Niehaus
B: 1927-11-05
D: 2024-06-01
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Niehaus, Mary Jean
Margaret Wheeldon
B: 1939-03-24
D: 2024-05-30
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Wheeldon, Margaret
Ellen Griffin-Smith
B: 1961-06-17
D: 2024-05-28
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Griffin-Smith, Ellen
Steven Vail
B: 1973-10-22
D: 2024-05-27
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Vail, Steven
Helen Snider
B: 1936-02-08
D: 2024-05-26
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Snider, 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:
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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