Obituaries

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
John Russell
B: 1928-03-20
D: 2017-06-13
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Russell, John
Clarence VanDenElzen
B: 1928-02-08
D: 2017-06-13
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VanDenElzen, Clarence
Rosella Heuvelman
B: 1921-03-03
D: 2017-06-10
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Heuvelman, Rosella
Margarete Pichler
B: 1927-04-16
D: 2017-06-07
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Pichler, Margarete
Linda Muchow
B: 1950-03-25
D: 2017-06-06
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Muchow, Linda
Angeline Lasee
B: 1911-07-03
D: 2017-06-06
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Lasee, Angeline
Elmer Tilque
B: 1930-10-02
D: 2017-06-05
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Tilque, Elmer
William Adriansen
B: 1925-10-30
D: 2017-06-04
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Adriansen, William
Randall Kohlhase
B: 1957-02-15
D: 2017-06-03
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Kohlhase, Randall
James Bilotti
B: 1958-03-01
D: 2017-06-02
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Bilotti, James
Shirley Thomas
B: 1945-06-27
D: 2017-06-02
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Thomas, Shirley
Marilyn Motiff
B: 1934-10-24
D: 2017-06-01
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Motiff, Marilyn
Ann Krause
B: 1930-07-04
D: 2017-05-27
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Krause, Ann
Elizabeth Malewiski
B: 1925-10-12
D: 2017-05-23
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Malewiski, Elizabeth
Albert Honkanen
B: 1930-12-07
D: 2017-05-23
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Honkanen, Albert
Irene Steinfeldt
B: 1913-09-19
D: 2017-05-21
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Steinfeldt, Irene

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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:

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