Obituaries

Helen Foerster
B: 1920-06-24
D: 2019-01-14
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Foerster, Helen
Jessica Kroll-Peciulis
B: 1963-09-19
D: 2019-01-11
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Kroll-Peciulis, Jessica
Mildred Kristof
B: 1924-04-14
D: 2019-01-08
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Kristof, Mildred
Thomas Przybylski
B: 1942-03-08
D: 2019-01-08
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Przybylski, Thomas
Albert Rogge
B: 1934-12-30
D: 2018-12-23
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Rogge, Albert
Marilyn Sievert
B: 1936-12-24
D: 2018-12-17
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Sievert, Marilyn
Duane Hudson
B: 1930-07-01
D: 2018-12-16
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Hudson, Duane
Mirna Rivera-Jagielski
B: 1953-11-28
D: 2018-12-14
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Rivera-Jagielski, Mirna
Sharon Lee
B: 1946-05-01
D: 2018-12-12
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Lee, Sharon
Rose Wozniak
B: 1919-05-26
D: 2018-12-12
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Wozniak, Rose
Henry Kozubal
B: 1924-05-16
D: 2018-12-04
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Kozubal, Henry
Fredrick Fulton
B: 1949-06-26
D: 2018-12-03
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Fulton, Fredrick
Ernest Winters,
B: 1954-11-06
D: 2018-11-25
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Winters,, Ernest
Ladine Osinski
B: 1968-11-28
D: 2018-11-19
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Osinski, Ladine
John Krueger
B: 1937-10-22
D: 2018-11-18
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Krueger, John
Malinda Peterson
B: 1961-12-07
D: 2018-11-17
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Peterson, Malinda
John Klebba
B: 1956-08-23
D: 2018-11-16
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Klebba, John
Lawrence Whiting
B: 1949-12-05
D: 2018-11-12
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Whiting, Lawrence
Alyce Olsen
B: 1928-10-22
D: 2018-11-10
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Olsen, Alyce
Deacon Gene Brah
B: 1953-01-20
D: 2018-11-03
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Brah, Deacon Gene
Lois Zingle
B: 1918-03-18
D: 2018-11-03
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Zingle, Lois

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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:

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