Obituaries

Carl McNutt
B: 1924-01-13
D: 2019-01-15
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McNutt, Carl
Corinne Olson
B: 1938-07-20
D: 2019-01-12
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Olson, Corinne
Marilyn Morrison
B: 1941-03-17
D: 2019-01-09
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Morrison, Marilyn
Betty Eccles
B: 1932-02-29
D: 2019-01-08
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Eccles, Betty
Helen Lamson
B: 1931-09-27
D: 2019-01-05
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Lamson, Helen
David Blanchard
B: 1927-03-02
D: 2019-01-04
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Blanchard, David
Dianna Thompson
B: 1943-06-09
D: 2019-01-03
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Thompson, Dianna
Elton Folkerts
B: 1934-06-24
D: 2019-01-03
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Folkerts, Elton
David Lundquist
B: 1946-12-19
D: 2019-01-01
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Lundquist, David
Erik Evans
B: 1991-05-17
D: 2018-12-29
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Evans, Erik
Judith Harris
B: 1945-06-29
D: 2018-12-26
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Harris, Judith
Richard Pearson
B: 1924-09-03
D: 2018-12-23
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Pearson, Richard
Vernon Cafarella
D: 2018-12-23
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Cafarella, Vernon
John Ahern
B: 1922-12-04
D: 2018-12-22
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Ahern, John
James Correll
B: 1932-07-25
D: 2018-12-22
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Correll, James
John Ahern
B: 1922-12-04
D: 2018-12-22
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Ahern, John
Elizabeth Leibnitz
B: 1926-01-11
D: 2018-12-19
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Leibnitz, Elizabeth
Anita Jarosak
B: 1938-03-29
D: 2018-12-18
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Jarosak, Anita
Melvin Cole
B: 1922-07-02
D: 2018-12-17
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Cole, Melvin
Jerome Dukart
B: 1932-10-15
D: 2018-12-14
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Dukart, Jerome
Karen Dostal
B: 1957-07-01
D: 2018-12-07
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Dostal, Karen

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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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