Obituaries

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
Gail Clendenning
B: 1938-12-03
D: 2018-04-04
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Clendenning, Gail
Rhonda Erdman
B: 1958-02-02
D: 2018-04-04
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Erdman, Rhonda
Anton Bittner
B: 1946-08-21
D: 2018-04-02
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Bittner, Anton
Ignaz Ohly
B: 1930-04-12
D: 2018-03-27
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Ohly, Ignaz
Lucille Hirsch
B: 1922-05-12
D: 2018-03-25
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Hirsch, Lucille
David McGowan
B: 1939-11-06
D: 2018-03-23
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McGowan, David
Timothy Schildt
B: 1941-09-13
D: 2018-03-21
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Schildt, Timothy
Vangeline Bienfang
B: 1941-01-25
D: 2018-03-20
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Bienfang, Vangeline
Sandra Marquard
B: 1941-03-04
D: 2018-03-20
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Marquard, Sandra
Vacen Osowski
B: 1921-03-31
D: 2018-03-12
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Osowski, Vacen
Grace Miller
B: 1915-12-16
D: 2018-03-08
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Miller, Grace
Edward Mondroski
B: 1920-01-12
D: 2018-02-21
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Mondroski, Edward
Nancy Nechuta
B: 1942-11-27
D: 2018-02-14
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Nechuta, Nancy
Irene Strasser
B: 1935-03-21
D: 2018-02-08
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Strasser, Irene
Duane Gorman
B: 1927-03-17
D: 2018-02-05
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Gorman, Duane

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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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