Obituaries

BettyAnn Kronwall
B: 1922-10-24
D: 2019-10-13
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Kronwall, BettyAnn
Edward Lafka
B: 1942-12-16
D: 2019-10-08
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Lafka, Edward
Edward Leahy
B: 1972-10-26
D: 2019-09-27
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Leahy, Edward
Candace Krohn
B: 1951-06-29
D: 2019-09-24
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Krohn, Candace
Delores Hinzpeter
B: 1943-05-29
D: 2019-09-24
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Hinzpeter, Delores
Joanna Sullivan-Blair
B: 1956-03-01
D: 2019-09-24
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Sullivan-Blair, Joanna
Audrey Frey
B: 1937-02-07
D: 2019-09-19
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Frey, Audrey
Joanne Wain
B: 1951-03-14
D: 2019-09-13
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Wain, Joanne
Thorval Grice
B: 1936-10-15
D: 2019-09-13
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Grice, Thorval
Lois Wolf
B: 1942-07-17
D: 2019-09-12
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Wolf, Lois
Nicholas Haviland
B: 1936-12-11
D: 2019-09-09
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Haviland, Nicholas
Delores Church
B: 1929-10-16
D: 2019-09-04
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Church, Delores
Shirley Ross
B: 1947-09-25
D: 2019-09-04
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Ross, Shirley
Ronald Weber
B: 1942-01-03
D: 2019-08-31
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Weber, Ronald
George Elblein
B: 1935-08-18
D: 2019-08-15
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Elblein, George
Juanita Grady
B: 1928-03-10
D: 2019-08-12
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Grady, Juanita
Kevin Cocroft
B: 1960-03-26
D: 2019-08-12
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Cocroft, Kevin
Edward Harris
B: 1952-04-11
D: 2019-08-07
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Harris, Edward
Terrence Thompson
B: 1934-05-05
D: 2019-08-07
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Thompson, Terrence
James Reilly
B: 1962-03-03
D: 2019-08-03
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Reilly, James
Lisa Fischback
B: 1966-08-21
D: 2019-08-01
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Fischback, Lisa

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515 Center Street
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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