Obituaries

Ruth Moughan
B: 1914-10-18
D: 2018-09-22
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Moughan, Ruth
Tony Martinez
B: 1953-06-13
D: 2018-09-21
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Martinez, Tony
Henry Schuette
B: 1936-08-06
D: 2018-09-20
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Schuette, Henry
Alice O'Connor
B: 1927-05-01
D: 2018-09-16
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O'Connor, Alice
Gary Gibis
B: 1949-07-02
D: 2018-09-16
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Gibis, Gary
Francis Haselmann
B: 1936-11-25
D: 2018-09-15
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Haselmann, Francis
Floyd Snidarich
B: 1936-12-09
D: 2018-09-14
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Snidarich, Floyd
Jeannine Salves
B: 1929-04-05
D: 2018-09-13
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Salves, Jeannine
Dorothy Klohn
B: 1929-12-15
D: 2018-09-11
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Klohn, Dorothy
Dorothy Dacus
B: 1926-10-07
D: 2018-09-10
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Dacus, Dorothy
Etch C. Daniel
B: 1944-06-01
D: 2018-09-08
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Daniel, Etch C.
James Brown
B: 1929-09-20
D: 2018-09-01
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Brown, James
Dennis Fisher
B: 1942-11-07
D: 2018-08-29
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Fisher, Dennis
Marie Murdock
B: 1930-10-06
D: 2018-08-24
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Murdock, Marie
Barbara Peltier
D: 2018-08-23
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Peltier, Barbara
John Cotroneo
B: 1943-03-09
D: 2018-08-19
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Cotroneo, John
Shirley Sevelin
B: 1927-04-25
D: 2018-08-15
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Sevelin, Shirley
Stanley Petersen
B: 1928-09-27
D: 2018-08-13
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Petersen, Stanley
Thomas Peters
B: 1938-05-27
D: 2018-08-13
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Peters, Thomas
DonDe Buckholtz
B: 1938-02-08
D: 2018-08-09
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Buckholtz, DonDe
Paul Mader
B: 1933-12-10
D: 2018-08-04
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Mader, Paul

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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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