Obituaries

Arthur Stefani
B: 1931-12-31
D: 2018-06-22
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Stefani, Arthur
Mary Thorne
B: 1936-09-11
D: 2018-06-22
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Thorne, Mary
Blaine Allsopp
B: 1933-12-14
D: 2018-06-19
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Allsopp, Blaine
Nicholis Budwick
B: 1940-12-25
D: 2018-06-18
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Budwick, Nicholis
Robert Bakula
B: 1930-12-08
D: 2018-06-16
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Bakula, Robert
Muriel Jalensky
B: 1923-11-28
D: 2018-06-15
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Jalensky, Muriel
William Carlson
B: 1942-10-07
D: 2018-06-15
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Carlson, William
Bert Sebben
B: 1929-05-10
D: 2018-06-14
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Sebben, Bert
Colleen Deininger
B: 1936-12-16
D: 2018-06-10
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Deininger, Colleen
Melisa Dickman
B: 1965-03-22
D: 2018-06-10
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Dickman, Melisa
Emmarose Dickman
B: 2000-07-25
D: 2018-06-10
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Dickman, Emmarose
Alex Dickman
B: 2004-11-30
D: 2018-06-10
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Dickman, Alex
Gabriel Conforti
B: 1937-11-13
D: 2018-06-09
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Conforti, Gabriel
Margaret Cote
B: 1935-11-23
D: 2018-06-08
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Cote, Margaret
Genevieve Matera
B: 1924-12-03
D: 2018-06-08
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Matera, Genevieve
Olivia Andrea
B: 1932-09-18
D: 2018-06-07
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Andrea, Olivia
Sharon Watring
B: 1947-11-13
D: 2018-06-07
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Watring, Sharon
Gertrude Pickos
B: 1917-10-01
D: 2018-06-05
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Pickos, Gertrude
Jerilyn Cairo
B: 1942-02-24
D: 2018-06-05
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Cairo, Jerilyn
Russell Sesto
B: 1941-07-19
D: 2018-06-04
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Sesto, Russell
Tyler Flores
B: 1989-08-28
D: 2018-06-04
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Flores, Tyler

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5111-60th Street
Kenosha, WI 53144
Phone: (262) 654-3533
Fax: (262) 654-3539

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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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