Obituaries

Patricia Holden
B: 1953-07-23
D: 2018-08-10
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Holden, Patricia
Rigoberto Nova-Morales
B: 2000-06-05
D: 2018-08-04
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Nova-Morales, Rigoberto
James Vavra
B: 1940-04-09
D: 2018-08-04
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Vavra, James
Dale Mullin
B: 1955-03-18
D: 2018-07-23
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Mullin, Dale
Ethel Morrissey
B: 1922-07-08
D: 2018-07-21
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Morrissey, Ethel
Kathleen Thomas
B: 1947-09-04
D: 2018-07-21
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Thomas, Kathleen
Marilyn Lucas
B: 1947-03-10
D: 2018-07-20
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Lucas, Marilyn
James Sherman
B: 1948-05-19
D: 2018-07-15
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Sherman, James
Robert Weidner
B: 1939-01-16
D: 2018-07-10
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Weidner, Robert
Debora Krohn
B: 1956-01-08
D: 2018-07-06
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Krohn, Debora
Robert Miller
B: 1931-06-01
D: 2018-07-05
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Miller, Robert
Clare Purnell
B: 1919-02-20
D: 2018-06-27
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Purnell, Clare
Phyllis Vukelich
B: 1929-09-08
D: 2018-06-22
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Vukelich, Phyllis
Rena Luitze
B: 1928-07-22
D: 2018-06-19
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Luitze, Rena
Bryan Mengarelli
B: 1995-07-23
D: 2018-06-19
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Mengarelli, Bryan
Lois VanLue
B: 1928-08-18
D: 2018-06-12
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VanLue, Lois
Helen Engstrom
B: 1929-07-23
D: 2018-06-05
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Engstrom, Helen
Nicholas Kutsche
B: 1981-03-03
D: 2018-05-28
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Kutsche, Nicholas
Sandra Johnson
B: 1941-12-27
D: 2018-05-26
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Johnson, Sandra
Betty Bitner
B: 1925-07-03
D: 2018-05-14
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Bitner, Betty
Earnestine Kennedy
B: 1931-01-10
D: 2018-05-13
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Kennedy, Earnestine

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Lake Geneva, WI 53147
Phone: 262-248-2320
Fax: 262-248-4422

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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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