Obituaries

Jeannie Saley
B: 1969-02-13
D: 2018-09-19
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Saley, Jeannie
LaVerne Haney
B: 1921-12-10
D: 2018-09-18
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Haney, LaVerne
Giles Blankley
B: 1950-10-07
D: 2018-09-18
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Blankley, Giles
Nevada Ramer
B: 1936-09-27
D: 2018-09-14
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Ramer, Nevada
Jack Smith
B: 1924-10-29
D: 2018-09-13
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Smith, Jack
Holly Harebo
B: 1992-12-14
D: 2018-09-13
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Harebo, Holly
Terry Watson
B: 1949-04-19
D: 2018-09-12
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Watson, Terry
Joseph Polentini
B: 1936-03-25
D: 2018-09-10
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Polentini, Joseph
Jesus Macareno
B: 1932-07-18
D: 2018-09-10
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Macareno, Jesus
Nola Stanley
B: 1952-03-30
D: 2018-09-10
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Stanley, Nola
Andre Sawyers
B: 1967-04-10
D: 2018-09-05
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Sawyers, Andre
Ralph Ruffolo
B: 1927-11-11
D: 2018-09-04
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Ruffolo, Ralph
Paul Sebastian
B: 1934-06-07
D: 2018-09-04
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Sebastian, Paul
Janet Vagnoni
B: 1933-01-21
D: 2018-09-02
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Vagnoni, Janet
Daniel Harris
B: 1959-03-19
D: 2018-09-02
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Harris, Daniel
Tamara Brague
B: 1960-01-24
D: 2018-09-02
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Brague, Tamara
Joseph Schiavi
B: 1985-01-26
D: 2018-09-02
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Schiavi, Joseph
Ferdinand Caracciolo
B: 1922-01-12
D: 2018-09-01
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Caracciolo, Ferdinand
Michael Pancheri
B: 1953-06-03
D: 2018-08-31
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Pancheri, Michael
Roger Feldt
B: 1964-09-02
D: 2018-08-27
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Feldt, Roger
Jeanne Nicolazzi
B: 1937-02-15
D: 2018-08-26
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Nicolazzi, Jeanne

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5111-60th Street
Kenosha, WI 53144
Phone: (262) 654-3533
Fax: (262) 654-3539

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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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