Obituaries

Thomas J. Hilby
B: 1961-08-22
D: 2019-10-06
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Hilby, Thomas J.
Renee J. Hubanks
B: 1966-06-06
D: 2019-09-30
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Hubanks, Renee J.
Patricia L. "Patty" Belken
B: 1948-06-12
D: 2019-09-25
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Belken, Patricia L. "Patty"
Daniel J. "Dan" Wackershauser
B: 1952-12-14
D: 2019-09-13
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Wackershauser, Daniel J. "Dan"
Norbert L. Vaassen
B: 1930-11-09
D: 2019-09-12
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Vaassen, Norbert L.
Judith A. Clark
B: 1953-06-08
D: 2019-09-09
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Clark, Judith A.
Lois T. Leibfried
B: 1959-08-18
D: 2019-09-07
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Leibfried, Lois T.
Richard P. "Dick" Schuster
B: 1937-04-23
D: 2019-09-05
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Schuster, Richard P. "Dick"
Ralph Kunkel
B: 1933-04-17
D: 2019-08-30
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Kunkel, Ralph
Avis Middaugh
B: 1931-11-16
D: 2019-08-30
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Middaugh, Avis
Daniel Greil
B: 1951-04-16
D: 2019-08-19
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Greil, Daniel
Marie Geiger
B: 1934-01-20
D: 2019-08-17
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Geiger, Marie
Cayla Jo Mutert
B: 1993-02-07
D: 2019-08-05
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Mutert, Cayla Jo
Betty L. Kuepers
B: 1928-04-16
D: 2019-07-27
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Kuepers, Betty L.
Mary Louise Bowden
B: 1929-03-30
D: 2019-07-20
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Bowden, Mary Louise
Silas Sturm
B: 2019-07-17
D: 2019-07-17
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Sturm, Silas
Jerry E. Udelhofen
B: 1933-05-30
D: 2019-07-15
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Udelhofen, Jerry E.
David Droessler
B: 1955-01-12
D: 2019-07-12
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Droessler, David
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"

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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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