Obituaries

Evelyn Evans
B: 1934-03-08
D: 2018-05-24
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Evans, Evelyn
Louise Heiligenthal
B: 1944-01-13
D: 2018-05-22
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Heiligenthal, Louise
Leona Eggers
B: 1925-06-28
D: 2018-05-21
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Eggers, Leona
Braydon Robertson
B: 2018-05-15
D: 2018-05-15
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Robertson, Braydon
Dallas Millard
B: 1932-05-20
D: 2018-05-13
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Millard, Dallas
Robert Bechen
B: 1932-09-12
D: 2018-05-11
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Bechen, Robert
Marilyn Houtakker
B: 1943-02-01
D: 2018-05-01
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Houtakker, Marilyn
Donald Houtakker
B: 1937-08-15
D: 2018-04-24
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Houtakker, Donald
Dennis Cavanaugh
B: 1962-05-15
D: 2018-04-19
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Cavanaugh, Dennis
Berniece Kieler-Kaiser
B: 1929-11-29
D: 2018-04-16
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Kieler-Kaiser, Berniece
Elwira Dobosz
B: 1923-12-04
D: 2018-04-13
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Dobosz, Elwira
Joseph Knox
B: 1937-03-21
D: 2018-04-12
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Knox, Joseph
Thomas M. "Tom" and Mary Lou (Lange) Aird
D: 2018-04-07
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Aird, Thomas M. "Tom" and Mary Lou (Lange)
Clayton E. "Gene" Redfern
B: 1929-08-10
D: 2018-04-04
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Redfern, Clayton E. "Gene"
Donald Rock
B: 1930-01-08
D: 2018-04-04
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Rock, Donald
Marilyn Mulligan
B: 1960-08-05
D: 2018-03-26
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Mulligan, Marilyn
Rodney Driscoll
B: 1930-10-25
D: 2018-03-23
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Driscoll, Rodney
Marion Wallenhorst
B: 1922-10-08
D: 2018-03-18
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Wallenhorst, Marion
Earl Kunkel
B: 1932-10-08
D: 2018-03-15
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Kunkel, Earl
Joseph Dietzel
B: 1928-08-13
D: 2018-03-13
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Dietzel, Joseph
Patricia Stanton
B: 1969-09-13
D: 2018-02-21
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Stanton, Patricia

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Cuba City, WI 53807
Phone: 608-744-2714
Fax: 608-744-3212

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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

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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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