Obituaries

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
Sever Anderson
B: 1926-08-09
D: 2018-08-04
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Anderson, Sever
Lorraine Steinbring
B: 1929-11-17
D: 2018-08-02
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Steinbring, Lorraine
Celine Holm
B: 1931-08-14
D: 2018-08-02
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Holm, Celine
Charles Anastasi
B: 1934-10-11
D: 2018-07-30
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Anastasi, Charles
Jeannie Mulvihill
B: 1939-08-09
D: 2018-07-30
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Mulvihill, Jeannie
Virginia Holm
B: 1923-04-30
D: 2018-07-29
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Holm, Virginia
Charles Prokop
B: 1932-01-04
D: 2018-07-27
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Prokop, Charles
Liam Wilson
B: 1996-04-29
D: 2018-07-27
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Wilson, Liam
Paul Stark
B: 1927-08-11
D: 2018-07-25
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Stark, Paul
Violet Sawyer
B: 1926-09-05
D: 2018-07-24
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Sawyer, Violet
Ronald Hansen
B: 1943-09-05
D: 2018-07-23
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Hansen, Ronald
Hugh Markley
B: 1942-01-03
D: 2018-07-23
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Markley, Hugh
Shana Hollins Branch
B: 1978-11-14
D: 2018-07-23
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Hollins Branch, Shana
Ann Myrand
B: 1927-05-11
D: 2018-07-20
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Myrand, Ann
Derrell McBroom
B: 1961-01-25
D: 2018-07-18
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McBroom, Derrell
Robert Wiens
B: 1950-10-21
D: 2018-07-17
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Wiens, Robert

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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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