Obituaries

Gordon Berg
B: 1943-04-09
D: 2017-10-19
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Berg, Gordon
Mark Griffin
B: 1974-07-14
D: 2017-10-16
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Griffin, Mark
Joan Palmbach
B: 1937-05-14
D: 2017-10-09
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Palmbach, Joan
Craig Collins
B: 1959-04-14
D: 2017-10-07
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Collins, Craig
David Wnek
B: 1986-12-31
D: 2017-09-20
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Wnek, David
David Peters
B: 1936-04-29
D: 2017-09-16
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Peters, David
Marilyn Lloyd
B: 1930-03-07
D: 2017-09-08
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Lloyd, Marilyn
James Schuler
B: 1935-09-23
D: 2017-09-06
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Schuler, James
Donald Kasinski
B: 1935-08-03
D: 2017-09-01
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Kasinski, Donald
Janet Roberts
B: 1937-09-30
D: 2017-08-31
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Roberts, Janet
Lorraine Ferstl
B: 1919-02-18
D: 2017-08-17
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Ferstl, Lorraine
Mary Gorr
B: 1920-05-16
D: 2017-08-16
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Gorr, Mary
Ivy Donnan
B: 1921-04-11
D: 2017-08-14
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Donnan, Ivy
Bernice Bogumill
B: 1930-03-13
D: 2017-08-10
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Bogumill, Bernice
Vicki Rudd
B: 1954-05-11
D: 2017-07-27
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Rudd, Vicki
Andrew Safraniec
B: 1989-08-14
D: 2017-07-24
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Safraniec, Andrew
Edward Yaeger
B: 1927-05-02
D: 2017-07-23
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Yaeger, Edward
Eugene Shusta
B: 1939-06-22
D: 2017-07-11
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Shusta, Eugene
Douglas Lois
B: 1955-06-09
D: 2017-07-09
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Lois, Douglas
Jessica Schindler
B: 1986-04-22
D: 2017-06-22
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Schindler, Jessica
William Collins
B: 1939-07-27
D: 2017-06-21
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Collins, William

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Lake Geneva, WI 53147
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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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