Obituaries

Vincent Sikorski
B: 1935-02-07
D: 2017-07-22
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Sikorski, Vincent
Ruth Simon
B: 1926-06-08
D: 2017-07-17
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Simon, Ruth
Harris Cooper
B: 1937-11-17
D: 2017-07-16
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Cooper, Harris
Donald Webber
B: 1927-05-04
D: 2017-07-15
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Webber, Donald
Richard Heer
B: 1942-04-03
D: 2017-07-11
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Heer, Richard
Douglas Grover
B: 1941-05-06
D: 2017-07-10
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Grover, Douglas
Loretta Solinger
B: 1932-09-29
D: 2017-07-09
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Solinger, Loretta
Betty Kinne
B: 1919-04-22
D: 2017-07-08
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Kinne, Betty
Elaine Roeser
B: 1934-10-05
D: 2017-07-06
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Roeser, Elaine
Steven Williams
B: 1959-05-21
D: 2017-07-06
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Williams, Steven
Anna Printseva
B: 1931-02-08
D: 2017-07-03
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Printseva, Anna
Vernon Isham
B: 1928-01-19
D: 2017-07-02
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Isham, Vernon
Vernon Anderson
B: 1920-05-08
D: 2017-07-01
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Anderson, Vernon
Herminie Spande
B: 1924-07-09
D: 2017-06-30
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Spande, Herminie
Edna McKinney
B: 1932-12-31
D: 2017-06-28
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McKinney, Edna
Porfirio Pineda
B: 1947-10-01
D: 2017-06-19
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Pineda, Porfirio
Gregory Howard
B: 1941-03-12
D: 2017-06-18
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Howard, Gregory
Susan Smith
B: 1942-03-24
D: 2017-06-15
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Smith, Susan
Judy McKenzie
B: 1950-12-07
D: 2017-06-12
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McKenzie, Judy
Correen Newinski
B: 1934-03-03
D: 2017-06-10
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Newinski, Correen
Ardis Buckett
B: 1922-01-26
D: 2017-06-09
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Buckett, Ardis

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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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