Obituaries

Darrell Pahl
B: 1943-04-11
D: 2017-03-26
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Pahl, Darrell
Sylvester Anderson
B: 1928-09-26
D: 2017-03-24
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Anderson, Sylvester
Christopher Adamski
B: 1966-11-22
D: 2017-03-22
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Adamski, Christopher
Linnea Cretton
B: 1948-04-01
D: 2017-03-22
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Cretton, Linnea
John Bildings
B: 1924-10-07
D: 2017-03-20
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Bildings, John
Lawrence Borchers
B: 1934-08-25
D: 2017-03-19
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Borchers, Lawrence
Rita Martzahl
B: 1930-12-29
D: 2017-03-18
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Martzahl, Rita
Patrick Bonfigt
B: 1954-05-20
D: 2017-03-18
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Bonfigt, Patrick
Eunice Engeldinger
B: 1952-03-02
D: 2017-03-16
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Engeldinger, Eunice
Blossom Krueger
B: 1921-05-08
D: 2017-03-16
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Krueger, Blossom
Kathleen Sanders
B: 1947-07-14
D: 2017-03-16
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Sanders, Kathleen
Glen Steinfeldt
B: 1960-09-17
D: 2017-03-13
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Steinfeldt, Glen
Bernice Strenn
B: 1926-08-31
D: 2017-03-13
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Strenn, Bernice
Jean Eggert
B: 1929-10-04
D: 2017-03-13
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Eggert, Jean
Edward Beno
B: 1930-07-27
D: 2017-03-11
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Beno, Edward
Edward Phelps
B: 1925-04-24
D: 2017-03-08
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Phelps, Edward
Maxine Nelsen
B: 1923-09-12
D: 2017-03-08
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Nelsen, Maxine
Sue Johnson
B: 1947-07-24
D: 2017-03-07
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Johnson, Sue
Helen Van Dyke
B: 1926-09-03
D: 2017-03-01
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Van Dyke, Helen
Amy Siehr
B: 1964-02-13
D: 2017-02-27
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Siehr, Amy
Roger Menting
B: 1944-00-00
D: 2017-02-25
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Menting, Roger

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860 N Webster Avenue
De Pere, WI 54115
Phone: 920-336-8702
Fax: 920-336-2150

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I. Biographical Information

Full Name:
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 You In Death
Your 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:
 

Miscellaneous Notes and Instructions:

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Please place my information on file

 

 

 

 

 

 

 

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