Obituaries

Mary Buechel
B: 1938-11-30
D: 2017-07-22
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Buechel, Mary
Donald Cleven
B: 1929-08-16
D: 2017-07-18
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Cleven, Donald
Marcia Thompson
B: 1955-12-28
D: 2017-07-08
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Thompson, Marcia
Doris Hopson
B: 1928-12-11
D: 2017-07-08
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Hopson, Doris
LaVerne Mancosky
B: 1932-04-01
D: 2017-07-06
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Mancosky, LaVerne
Iola Lawrence
B: 1925-03-06
D: 2017-07-05
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Lawrence, Iola
Robert Beerntsen
B: 1936-12-26
D: 2017-07-04
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Beerntsen, Robert
Jerome Legault
B: 1944-05-28
D: 2017-07-02
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Legault, Jerome
Dorothy Laehn
B: 1933-01-12
D: 2017-07-01
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Laehn, Dorothy
Diana Gulseth
B: 1937-09-16
D: 2017-06-29
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Gulseth, Diana
Elmer Loppnow
B: 1925-06-17
D: 2017-06-29
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Loppnow, Elmer
Judy Classon
B: 1949-07-16
D: 2017-06-29
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Classon, Judy
Steven Platz
B: 1981-06-11
D: 2017-06-29
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Platz, Steven
Carl Krentz
B: 1956-02-04
D: 2017-06-29
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Krentz, Carl
Robert Kriescher
B: 1931-02-06
D: 2017-06-28
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Kriescher, Robert
Bradley Van Ven Roy
B: 2017-12-10
D: 2017-06-25
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Van Ven Roy, Bradley
Marion Case
B: 1925-10-20
D: 2017-06-22
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Case, Marion
Arthur Williams
B: 1940-12-07
D: 2017-06-19
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Williams, Arthur
Mildred Wegner
B: 1927-02-12
D: 2017-06-19
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Wegner, Mildred
Brian Groves
B: 1960-09-03
D: 2017-06-17
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Groves, Brian
Celeste Van Remortel
B: 1917-09-05
D: 2017-06-15
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Van Remortel, Celeste

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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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