Obituaries

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
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
Irene Robers
B: 1919-11-20
D: 2018-05-12
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Robers, Irene
Robert Davison
B: 1959-07-03
D: 2018-05-12
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Davison, Robert
John Perkins
B: 1945-07-27
D: 2018-05-10
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Perkins, John
Kay Smith
B: 1934-09-07
D: 2018-05-09
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Smith, Kay
Donna Anderson
B: 1937-05-19
D: 2018-05-01
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Anderson, Donna
Maria Barajas de Villegas
B: 1956-12-08
D: 2018-04-30
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Barajas de Villegas, Maria
Ralph Stern
B: 1926-05-16
D: 2018-04-29
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Stern, Ralph
Mildred Schneider
B: 1924-08-18
D: 2018-04-26
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Schneider, Mildred
Ruby Smith
B: 1923-12-20
D: 2018-04-24
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Smith, Ruby
Arnold Karzov
B: 1937-09-11
D: 2018-04-21
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Karzov, Arnold
Jerry Sipari
B: 1944-10-25
D: 2018-04-17
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Sipari, Jerry
Gary Bauer
B: 1957-06-27
D: 2018-04-10
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Bauer, Gary
Lyle Swatek
B: 1928-03-01
D: 2018-04-08
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Swatek, Lyle
Christopher Lazarczyk
B: 1992-07-23
D: 2018-04-08
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Lazarczyk, Christopher
Gary Camphouse
B: 1953-03-18
D: 2018-04-07
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Camphouse, Gary
Patricia Carolan
B: 1940-02-05
D: 2018-04-05
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Carolan, Patricia

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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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