Obituaries

Teodoro Bilotto
B: 1970-08-16
D: 2018-11-12
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Bilotto, Teodoro
Ronald Kosman
B: 1956-08-17
D: 2018-11-12
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Kosman, Ronald
Jacob Drissel
B: 1952-01-13
D: 2018-11-11
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Drissel, Jacob
Timothy Pagel
B: 1977-03-18
D: 2018-11-10
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Pagel, Timothy
Margaret Ebener
B: 1936-09-13
D: 2018-11-10
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Ebener, Margaret
Kenneth Sorensen
B: 1927-10-18
D: 2018-11-06
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Sorensen, Kenneth
Betty Marion
B: 1933-01-30
D: 2018-11-05
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Marion, Betty
Carrie Smith
B: 1945-03-18
D: 2018-11-03
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Smith, Carrie
Elena Lagodich
B: 1960-09-07
D: 2018-11-03
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Lagodich, Elena
Adeline DeAngelis
B: 1917-03-23
D: 2018-10-30
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DeAngelis, Adeline
Amelia Caira
B: 1931-10-01
D: 2018-10-27
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Caira, Amelia
Albert Andreoli
B: 1944-03-30
D: 2018-10-24
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Andreoli, Albert
Ernest Pascucci
B: 1927-05-05
D: 2018-10-24
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Pascucci, Ernest
Toby Schlenker
B: 1962-08-20
D: 2018-10-24
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Schlenker, Toby
Shane Bodven
B: 1978-11-17
D: 2018-10-22
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Bodven, Shane
Lucia Inclan
B: 1947-12-20
D: 2018-10-19
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Inclan, Lucia
Josephine Andreucci
B: 1923-10-26
D: 2018-10-16
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Andreucci, Josephine
Brandon Gross
B: 1993-12-18
D: 2018-10-16
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Gross, Brandon
Barbara LaMothe
B: 1941-09-04
D: 2018-10-15
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LaMothe, Barbara
Thomas Hoffmann
B: 1954-08-12
D: 2018-10-15
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Hoffmann, Thomas
Albert Dimeo
B: 1935-03-28
D: 2018-10-13
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Dimeo, Albert

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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)
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Date of Birth: (month/day/year)
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Highest Education Level:
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
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Mother's Name:
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Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
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Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
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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:
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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:
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The cemetery property is in the name of:

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