Obituaries

Linda Shepherd
B: 1951-10-06
D: 2019-02-17
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Shepherd, Linda
Priscilla M. "Perce" Edge
B: 1932-09-18
D: 2019-02-13
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Edge, Priscilla M. "Perce"
Patricia A. "Pat" Jerrett
B: 1942-08-21
D: 2019-02-12
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Jerrett, Patricia A. "Pat"
Marie Boldt-Rubbert
B: 1932-03-26
D: 2019-02-11
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Boldt-Rubbert, Marie
Thomas H. "Jack" Robson
B: 1924-12-02
D: 2019-02-09
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Robson, Thomas H. "Jack"
Robert Klein
B: 1931-04-03
D: 2019-02-05
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Klein, Robert
Delbert J. Kaiser
B: 1933-07-16
D: 2019-01-31
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Kaiser, Delbert J.
Jeanette Schleifer
B: 1927-08-07
D: 2019-01-30
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Schleifer, Jeanette
Ronald Vosberg
B: 1937-09-28
D: 2019-01-30
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Vosberg, Ronald
Dorothy Runde
B: 1929-10-11
D: 2019-01-25
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Runde, Dorothy
Daniel Mootz
B: 1950-04-14
D: 2019-01-16
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Mootz, Daniel
Karen Nevins
B: 1952-04-03
D: 2019-01-12
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Nevins, Karen
Joyce Hoppenjan
B: 1934-07-13
D: 2019-01-07
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Hoppenjan, Joyce
Mary Jane Hoppenjan
B: 1936-10-15
D: 2019-01-07
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Hoppenjan, Mary Jane
Bernard Udelhoven
B: 1929-03-05
D: 2019-01-05
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Udelhoven, Bernard
Michael Lipsky
B: 1947-01-25
D: 2018-12-25
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Lipsky, Michael
Janet Westemeier
B: 1963-09-15
D: 2018-12-24
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Westemeier, Janet
Donna Slaats
B: 1933-12-27
D: 2018-12-22
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Slaats, Donna
Ronald Morris
B: 1940-01-09
D: 2018-12-19
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Morris, Ronald
Mary Kaiser
B: 1943-01-17
D: 2018-12-15
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Kaiser, Mary
John Richard
B: 1936-08-25
D: 2018-12-02
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Richard, John

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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:

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