Obituaries

Mary Lou Sundberg
B: 1928-12-10
D: 2017-08-16
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Sundberg, Mary Lou
Anna Mae Knapp
B: 1921-05-25
D: 2017-08-12
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Knapp, Anna Mae
Roy Jacobson
B: 1935-12-25
D: 2017-08-11
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Jacobson, Roy
Patricia McGough
B: 1931-12-16
D: 2017-08-10
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McGough, Patricia
Bruce Zabel
B: 1958-02-17
D: 2017-08-08
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Zabel, Bruce
Ernest Linnenkamp
B: 1929-07-07
D: 2017-08-05
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Linnenkamp, Ernest
Dean Young
B: 1933-11-02
D: 2017-08-02
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Young, Dean
Eunice Revsbech
B: 1939-08-14
D: 2017-08-02
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Revsbech, Eunice
Joseph Lofrano
B: 1933-12-21
D: 2017-07-29
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Lofrano, Joseph
Janice Nichols
B: 1932-07-27
D: 2017-07-29
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Nichols, Janice
John Neuberger
B: 1928-10-22
D: 2017-07-26
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Neuberger, John
Vincent Sikorski
B: 1935-02-07
D: 2017-07-22
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Sikorski, Vincent
Curtis Robbins
B: 1945-01-31
D: 2017-07-22
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Robbins, Curtis
Mark Saunders
B: 1970-06-03
D: 2017-07-21
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Saunders, Mark
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

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16394 Glory Lane
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

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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