Obituaries

James Meyer
B: 1940-04-24
D: 2020-05-26
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Meyer, James
Olga Montoya
B: 1933-08-10
D: 2020-05-19
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Montoya, Olga
David Skoog
B: 1944-06-17
D: 2020-05-11
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Skoog, David
Patricia Duerner
B: 1927-02-28
D: 2020-04-27
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Duerner, Patricia
Scott Sinjem
B: 1959-05-28
D: 2020-04-25
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Sinjem, Scott
Duane La Fortune
B: 1935-04-27
D: 2020-04-16
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La Fortune, Duane
Dean Terry
B: 1935-09-06
D: 2020-04-16
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Terry, Dean
Robert Peterson
B: 1944-06-20
D: 2020-04-16
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Peterson, Robert
Cynthia Johnson
B: 1954-05-29
D: 2020-04-15
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Johnson, Cynthia
Michael Tolliver
B: 1952-06-27
D: 2020-04-12
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Tolliver, Michael
Teresa Zilka
B: 1931-05-18
D: 2020-04-12
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Zilka, Teresa
Barbara St. Martin
B: 1937-06-23
D: 2020-04-09
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St. Martin, Barbara
Elizabeth Murphy
B: 1921-07-31
D: 2020-04-07
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Murphy, Elizabeth
Enidelle Schmidt
B: 1920-11-04
D: 2020-04-07
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Schmidt, Enidelle
Virginia Houck
B: 1930-08-01
D: 2020-03-29
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Houck, Virginia
Scott Nestande
B: 1957-01-12
D: 2020-03-22
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Nestande, Scott
Murray Smith
B: 1939-06-07
D: 2020-03-19
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Smith, Murray
Richard Donnay
B: 1941-01-04
D: 2020-03-18
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Donnay, Richard
Devon Doherty
B: 1974-10-02
D: 2020-03-16
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Doherty, Devon
Yvonne Olson
B: 1931-04-18
D: 2020-03-16
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Olson, Yvonne
Rev. James Jenkins
B: 1931-03-12
D: 2020-03-14
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Jenkins, Rev. James

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Eden Prairie, MN 55344
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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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