Obituaries

Christine Kinas
B: 1985-02-04
D: 2019-01-21
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Kinas, Christine
Craig Peterson
B: 1963-02-16
D: 2019-01-20
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Peterson, Craig
George Hansen
B: 1936-08-10
D: 2019-01-18
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Hansen, George
Devin Davis
B: 2009-08-28
D: 2019-01-18
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Davis, Devin
Mary Gallagher
B: 1926-12-27
D: 2019-01-17
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Gallagher, Mary
Jerome Hunt
B: 1927-12-11
D: 2019-01-16
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Hunt, Jerome
Remo Camosy
B: 1921-08-14
D: 2019-01-15
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Camosy, Remo
Gene Mecozzi
B: 1940-05-09
D: 2019-01-14
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Mecozzi, Gene
Joseph Goetluck
B: 1943-07-20
D: 2019-01-14
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Goetluck, Joseph
Mary Kreie
B: 1944-03-09
D: 2019-01-11
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Kreie, Mary
Betty Canning
B: 1928-03-30
D: 2019-01-10
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Canning, Betty
Jennie Vite
B: 1920-10-02
D: 2019-01-08
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Vite, Jennie
Marie Tabbert
B: 1927-10-27
D: 2019-01-04
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Tabbert, Marie
Elizabeth Waldron
B: 1930-07-14
D: 2019-01-03
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Waldron, Elizabeth
Opsy Gitzlaff
B: 1919-01-26
D: 2019-01-02
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Gitzlaff, Opsy
Jean Bianchi
B: 1936-07-28
D: 2019-01-02
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Bianchi, Jean
Michael Jesse
B: 1954-05-05
D: 2019-01-02
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Jesse, Michael
Zenaida Tentoco
B: 1939-09-17
D: 2019-01-01
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Tentoco, Zenaida
Arlene Tucker
B: 1929-05-29
D: 2018-12-30
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Tucker, Arlene
William Russell
B: 1950-08-21
D: 2018-12-30
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Russell, William
Gertrude Kleven
B: 1927-06-21
D: 2018-12-28
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Kleven, Gertrude

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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)
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Date of Birth: (month/day/year)
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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:
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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:
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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:
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The cemetery property is in the name of:

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