Obituaries

Charlene Scott
B: 1956-08-20
D: 2020-02-19
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Scott, Charlene
Meryl Hemann (Bomkamp)
B: 1946-10-22
D: 2020-02-18
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Hemann (Bomkamp), Meryl
Alice Sheppard
B: 1926-03-26
D: 2020-02-14
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Sheppard, Alice
Cynthia Deuel
B: 1953-12-08
D: 2020-02-13
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Deuel, Cynthia
Norman Phillips
B: 1932-04-08
D: 2020-02-13
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Phillips, Norman
Leonard Loertscher
B: 1921-09-27
D: 2020-02-11
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Loertscher, Leonard
Seairaha Winchester
B: 1989-05-07
D: 2020-02-10
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Winchester, Seairaha
Laine Jackson
B: 1966-07-02
D: 2020-02-09
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Jackson, Laine
Marjorie Woodman
B: 1928-02-20
D: 2020-02-04
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Woodman, Marjorie
Loren Clark
B: 1935-03-28
D: 2020-02-01
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Clark, Loren
Robert Pakes
B: 1954-08-27
D: 2020-01-24
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Pakes, Robert
Allen Miller
B: 1939-07-28
D: 2020-01-23
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Miller, Allen
Ray Jett
B: 1940-10-04
D: 2020-01-20
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Jett, Ray
Dennis Fleming
B: 1947-08-05
D: 2020-01-20
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Fleming, Dennis
Joyce Buggs
B: 1929-03-30
D: 2020-01-18
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Buggs, Joyce
Roger Poffenberger
B: 1950-08-03
D: 2020-01-17
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Poffenberger, Roger
Kathleen Bradley
B: 1945-09-12
D: 2020-01-16
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Bradley, Kathleen
Clement Hudziak
B: 1927-11-15
D: 2020-01-15
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Hudziak, Clement
Lewis York
B: 1933-05-07
D: 2020-01-11
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York, Lewis
Gale Copeland
B: 1939-11-11
D: 2020-01-08
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Copeland, Gale
Peggy Zillmer
B: 1951-07-14
D: 2020-01-08
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Zillmer, Peggy

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21 S. Austin Road
Janesville, WI 53548
Phone: (608) 752-2444
Fax: (608) 754-7780

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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)
City of Birth:
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Highest Education Level:
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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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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:
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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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