Obituaries

Randy Kurtzweil
B: 1959-03-10
D: 2018-06-20
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Kurtzweil, Randy
Dennis Meis
B: 1961-06-08
D: 2018-06-16
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Meis, Dennis
William Kusiak
B: 1965-02-13
D: 2018-06-11
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Kusiak, William
Earl Gritzmacher
B: 1931-10-23
D: 2018-06-06
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Gritzmacher, Earl
Barbara Bouvat
B: 1937-12-22
D: 2018-06-01
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Bouvat, Barbara
Fred Maly
B: 1932-10-08
D: 2018-05-31
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Maly, Fred
Jennifer Rempke
B: 1986-06-10
D: 2018-05-28
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Rempke, Jennifer
Genevieve Kasprzycki
B: 1934-07-27
D: 2018-05-26
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Kasprzycki, Genevieve
Amber Stefoneck
B: 1993-08-31
D: 2018-05-26
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Stefoneck, Amber
Ronald Bothe
B: 1974-01-07
D: 2018-05-22
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Bothe, Ronald
Esther Baehr
B: 1924-10-24
D: 2018-05-16
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Baehr, Esther
Dorothy Hojnacki
B: 1927-11-01
D: 2018-05-14
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Hojnacki, Dorothy
Donna Davis
B: 1939-08-21
D: 2018-05-13
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Davis, Donna
Betty Marciniak
B: 1925-10-03
D: 2018-05-13
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Marciniak, Betty
David Beske
B: 1950-09-03
D: 2018-04-24
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Beske, David
Eugene Follett
B: 1932-04-13
D: 2018-04-22
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Follett, Eugene
Gregory Drake
B: 1937-05-21
D: 2018-04-19
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Drake, Gregory
Rita Warner
B: 1931-02-09
D: 2018-04-17
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Warner, Rita
Agnes Mikes
B: 1926-02-03
D: 2018-04-14
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Mikes, Agnes
Roy Syring
B: 1950-11-06
D: 2018-04-14
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Syring, Roy
Constance Vanney
B: 1932-10-25
D: 2018-04-09
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Vanney, Constance

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MOSINEE, WI 54455
Phone: (715) 693-2450
Fax: (715) 693-2457

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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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