Obituaries

Florence Biegert
B: 1942-11-21
D: 2017-08-21
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Biegert, Florence
William Roebke
B: 1940-08-27
D: 2017-08-21
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Roebke, William
Rebecca Pennenberg
B: 1972-10-28
D: 2017-08-17
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Pennenberg, Rebecca
Raelia Pennenberg
B: 1999-05-06
D: 2017-08-17
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Pennenberg, Raelia
Elaine Kozlovsky
B: 1939-01-03
D: 2017-08-16
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Kozlovsky, Elaine
Eunice Lindsley
B: 1924-02-28
D: 2017-08-10
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Lindsley, Eunice
Marilyn Denissen
B: 1929-05-22
D: 2017-08-09
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Denissen, Marilyn
Matthew Collins
B: 1982-01-02
D: 2017-08-09
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Collins, Matthew
Carol Wellens
B: 1945-02-19
D: 2017-08-06
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Wellens, Carol
Marguerite Kitslaar
B: 1925-08-10
D: 2017-07-28
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Kitslaar, Marguerite
Marjorie Van Drisse
B: 1938-07-06
D: 2017-07-27
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Van Drisse, Marjorie
Doris Faust
B: 1929-03-13
D: 2017-07-25
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Faust, Doris
Wilbert Brey
B: 1920-05-21
D: 2017-07-25
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Brey, Wilbert
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

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De Pere, WI 54115
Phone: 920-336-8702
Fax: 920-336-2150

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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:

Miscellaneous Notes and Instructions:

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