Obituaries

Harold Burke
B: 1941-09-12
D: 2018-05-18
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Burke, Harold
Gerald Principe
B: 1940-08-02
D: 2018-05-15
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Principe, Gerald
Jack Sorensen
B: 1949-04-21
D: 2018-05-14
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Sorensen, Jack
Annette Card Falls
B: 1943-08-26
D: 2018-05-14
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Card Falls, Annette
Barbara Tennessen
B: 1937-11-24
D: 2018-05-13
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Tennessen, Barbara
Nathan Pickos
B: 1995-09-17
D: 2018-05-10
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Pickos, Nathan
John Jechorek
B: 1945-01-01
D: 2018-05-06
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Jechorek, John
Pentti Juola
B: 1946-04-25
D: 2018-05-03
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Juola, Pentti
Consuelo Lopez
D: 2018-05-01
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Lopez, Consuelo
Kathleen Hilty
B: 1940-12-01
D: 2018-05-01
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Hilty, Kathleen
Elton Correa
B: 1928-06-18
D: 2018-04-29
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Correa, Elton
Ma Consuelo Mamitag
B: 1945-12-24
D: 2018-04-25
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Mamitag, Ma Consuelo
Gloria Pipkorn
B: 1930-03-19
D: 2018-04-21
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Pipkorn, Gloria
Dorothy Ewer
B: 1939-10-15
D: 2018-04-18
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Ewer, Dorothy
Timothy Kreye
B: 1987-11-10
D: 2018-04-18
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Kreye, Timothy
Elaine Jurkoska
B: 1925-05-18
D: 2018-04-16
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Jurkoska, Elaine
Frank Simo
B: 1920-10-06
D: 2018-04-14
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Simo, Frank
Deborah Guzman
B: 1955-07-11
D: 2018-04-11
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Guzman, Deborah
Santo Riva
B: 1934-05-10
D: 2018-04-10
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Riva, Santo
Irene Gentz
B: 1929-12-04
D: 2018-04-09
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Gentz, Irene
Gary Smith
B: 1954-10-06
D: 2018-04-06
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Smith, Gary

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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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