Obituaries

Barbara LaMothe
B: 1941-09-04
D: 2018-10-15
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LaMothe, Barbara
Thomas Hoffmann
B: 1954-08-12
D: 2018-10-15
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Hoffmann, Thomas
Kathleen Axelsson
B: 1955-05-13
D: 2018-10-13
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Axelsson, Kathleen
Anna Locke
B: 1927-09-05
D: 2018-10-10
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Locke, Anna
Wilfredo Martell
B: 1936-10-02
D: 2018-10-10
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Martell, Wilfredo
Josiah Dryer
D: 2018-10-09
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Dryer, Josiah
Janice Pace
B: 1960-03-12
D: 2018-10-08
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Pace, Janice
Rochelle Farrey
B: 1945-03-24
D: 2018-10-07
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Farrey, Rochelle
Seth Zupkoff
B: 1962-11-22
D: 2018-10-06
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Zupkoff, Seth
Virginia Schmitz
B: 1926-01-03
D: 2018-10-04
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Schmitz, Virginia
Minnie Matera
B: 1923-11-29
D: 2018-10-01
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Matera, Minnie
Benjamin Rodriguez
B: 1933-01-01
D: 2018-10-01
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Rodriguez, Benjamin
Jo Spiers
B: 1949-11-25
D: 2018-09-30
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Spiers, Jo
William Klopstein
B: 1963-04-16
D: 2018-09-29
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Klopstein, William
Ceanne Hartmann
B: 1939-08-12
D: 2018-09-29
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Hartmann, Ceanne
John Kowalski
B: 1941-05-22
D: 2018-09-28
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Kowalski, John
Shirley Kappeler
B: 1923-11-15
D: 2018-09-27
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Kappeler, Shirley
Ronald Meiszberg
B: 1937-03-23
D: 2018-09-25
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Meiszberg, Ronald
Sidney Pennington
B: 1942-04-07
D: 2018-09-23
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Pennington, Sidney
Michael Sinnen
B: 1955-07-27
D: 2018-09-22
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Sinnen, Michael
Lyle Laveau
B: 1933-03-22
D: 2018-09-21
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Laveau, Lyle

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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:
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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Mother's Name:
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Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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