Obituaries

Margaret Pollo
B: 1923-04-05
D: 2018-04-23
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Pollo, Margaret
John Tschida
B: 1941-06-24
D: 2018-04-21
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Tschida, John
Warren Hoen
B: 1921-10-30
D: 2018-04-21
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Hoen, Warren
Rev. Robert Hamel
D: 2018-04-21
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Hamel, Rev. Robert
Bernice Wojcik
B: 1924-05-11
D: 2018-04-18
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Wojcik, Bernice
Arthur Kutchera
B: 1930-02-25
D: 2018-04-18
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Kutchera, Arthur
Joan Schuster
B: 1928-06-30
D: 2018-04-17
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Schuster, Joan
Negussie Berihun
B: 1948-12-25
D: 2018-04-16
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Berihun, Negussie
Edith Henk
B: 1962-04-20
D: 2018-04-15
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Henk, Edith
Mildred Bauman
B: 1923-04-10
D: 2018-04-13
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Bauman, Mildred
Brian Polasek
B: 1961-10-05
D: 2018-04-13
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Polasek, Brian
Darlene Bartylla
B: 1938-06-09
D: 2018-04-12
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Bartylla, Darlene
John Rueb
B: 1938-01-24
D: 2018-04-10
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Rueb, John
Ralph Setterlund
B: 1947-05-15
D: 2018-04-10
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Setterlund, Ralph
Douglas Anderson
B: 1929-12-31
D: 2018-04-09
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Anderson, Douglas
Daniel Donovan
D: 2018-04-09
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Donovan, Daniel
Jesse Blais
B: 1981-01-07
D: 2018-04-05
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Blais, Jesse
Karl Ranum
B: 1960-01-16
D: 2018-04-02
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Ranum, Karl
Alice Faffler
B: 1932-06-11
D: 2018-04-02
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Faffler, Alice
Lawrence Senger
B: 1933-12-19
D: 2018-04-01
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Senger, Lawrence
Donald Madore
B: 1941-07-28
D: 2018-03-31
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Madore, Donald

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St. Paul, MN 55106
Phone: 651-774-9797
Fax: 651-778-9677
651-774-9797

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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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