Obituaries

Richard J. "Dick" Klein
B: 1942-01-20
D: 2019-06-18
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Klein, Richard J. "Dick"
Robert L. "Bob" McCauley
B: 1925-11-07
D: 2019-06-13
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McCauley, Robert L. "Bob"
Ronald J. "Ron" Busch
B: 1943-10-11
D: 2019-06-12
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Busch, Ronald J. "Ron"
Ruth E. Hilvers
B: 1928-01-15
D: 2019-06-09
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Hilvers, Ruth E.
Marvin M. "Mike" Frank
B: 1954-10-31
D: 2019-06-04
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Frank, Marvin M. "Mike"
Joan Kuhl
B: 1944-08-31
D: 2019-06-02
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Kuhl, Joan
Harold E. "Ham" Beinborn
B: 1922-05-15
D: 2019-06-01
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Beinborn, Harold E. "Ham"
Arlene Pickel
B: 1949-09-23
D: 2019-05-31
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Pickel, Arlene
Lois Junk
B: 1951-03-17
D: 2019-05-24
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Junk, Lois
Marie Busch Foecking
B: 1927-10-04
D: 2019-05-23
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Busch Foecking, Marie
Phyllis Duntze
B: 1930-06-11
D: 2019-05-17
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Duntze, Phyllis
Gregory F. Cummins
B: 1953-11-23
D: 2019-05-10
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Cummins, Gregory F.
Harland Coulthard
B: 1948-02-20
D: 2019-05-08
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Coulthard, Harland
Alberta Conroy
B: 1937-07-09
D: 2019-05-07
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Conroy, Alberta
Daniel Lange
B: 1956-09-21
D: 2019-05-06
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Lange, Daniel
Ronald Heinricy
B: 1938-07-14
D: 2019-05-02
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Heinricy, Ronald
Dennis Deiter
B: 1962-03-03
D: 2019-04-30
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Deiter, Dennis
Donna Cyborski
B: 1948-12-08
D: 2019-04-29
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Cyborski, Donna
Janice Brant
B: 1956-09-09
D: 2019-04-29
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Brant, Janice
Bernice Stratton
B: 1936-02-29
D: 2019-04-27
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Stratton, Bernice
Anna Keleher
B: 1931-09-14
D: 2019-04-26
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Keleher, Anna

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Cuba City, WI 53807
Phone: 608-744-2714
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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:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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