Obituaries

Esther Egan
B: 1932-12-08
D: 2020-04-01
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Egan, Esther
David J. "Bubba" Vosberg
B: 1964-10-24
D: 2020-03-26
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Vosberg, David J. "Bubba"
Margaret Timmerman
B: 1933-07-15
D: 2020-03-24
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Timmerman, Margaret
Harriet Freese
B: 1937-08-21
D: 2020-03-23
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Freese, Harriet
Harvey Brandt
B: 1943-05-10
D: 2020-03-21
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Brandt, Harvey
Casey Welter
B: 1984-04-08
D: 2020-03-17
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Welter, Casey
Fern A. Boever
B: 1924-10-18
D: 2020-03-12
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Boever, Fern A.
Ann Dietzel
B: 1924-04-23
D: 2020-03-08
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Dietzel, Ann
Richard "Rick" Kay
B: 1949-02-27
D: 2020-03-05
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Kay, Richard "Rick"
Mary Margaret Robson
B: 1947-12-13
D: 2020-02-28
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Robson, Mary Margaret
Clotilda Muller
B: 1925-04-30
D: 2020-02-19
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Muller, Clotilda
Robert M. "Bob" Loeffelholz
B: 1940-05-21
D: 2020-02-18
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Loeffelholz, Robert M. "Bob"
Howard Loeffelholz
B: 1941-07-15
D: 2020-02-14
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Loeffelholz, Howard
Martin Kunkel
B: 1939-04-07
D: 2020-02-10
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Kunkel, Martin
Katharine Gray
B: 1920-01-12
D: 2020-01-28
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Gray, Katharine
James Mueller
B: 1950-09-15
D: 2020-01-25
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Mueller, James
Mary Zasada
B: 1936-09-13
D: 2020-01-24
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Zasada, Mary
Betty Alguire
B: 1937-04-07
D: 2020-01-12
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Alguire, Betty
Mary Ann Gansen
B: 1942-10-02
D: 2020-01-03
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Gansen, Mary Ann
Jerry Donohoo
B: 1948-02-24
D: 2020-01-01
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Donohoo, Jerry
Darryl Jerrett
B: 1938-07-24
D: 2019-12-30
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Jerrett, Darryl

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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

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:

Miscellaneous Notes and Instructions:

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