Obituaries

Dale Reimer
B: 1938-09-29
D: 2019-11-10
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Reimer, Dale
Jaclyn Hintze
B: 1979-06-23
D: 2019-11-07
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Hintze, Jaclyn
Benedict Webber
B: 1946-07-11
D: 2019-11-05
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Webber, Benedict
Daniel Leary
B: 1961-01-14
D: 2019-11-05
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Leary, Daniel
Richard McNeal
B: 1934-05-07
D: 2019-10-30
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McNeal, Richard
Bonne St. James
B: 1947-08-01
D: 2019-10-28
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St. James, Bonne
Sandra Pagel-Clemens
B: 1941-08-11
D: 2019-10-27
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Pagel-Clemens, Sandra
Helen Hanus
B: 1930-03-12
D: 2019-10-24
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Hanus, Helen
Barry Midwinter
B: 1954-12-26
D: 2019-10-24
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Midwinter, Barry
Mary Fulkerson
B: 1940-01-10
D: 2019-10-23
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Fulkerson, Mary
ElRoy Kuglin
B: 1938-11-11
D: 2019-10-22
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Kuglin, ElRoy
Lillian Erickson
B: 1931-05-25
D: 2019-10-21
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Erickson, Lillian
Robert Berset
B: 1935-06-10
D: 2019-10-20
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Berset, Robert
Mary Johnson
B: 1939-07-07
D: 2019-10-16
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Johnson, Mary
Dixie Lindsley
B: 1937-09-19
D: 2019-10-13
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Lindsley, Dixie
Robert Oellerich
B: 1938-11-16
D: 2019-10-13
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Oellerich, Robert
Roger Erickson
B: 1929-07-10
D: 2019-10-13
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Erickson, Roger
Marian Vincent
B: 1933-11-30
D: 2019-10-12
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Vincent, Marian
Willliam Hendrickson
B: 1943-06-24
D: 2019-10-08
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Hendrickson, Willliam
Michael Mancini
B: 1946-05-10
D: 2019-10-04
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Mancini, Michael
Valborg Swedberg
B: 1923-05-01
D: 2019-09-23
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Swedberg, Valborg

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Phone: (952) 949-4970
Fax: (952) 949-5947

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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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