Obituaries

Katrin Flann
B: 1961-12-30
D: 2019-05-15
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Flann, Katrin
Beverly Conklin
B: 1936-08-17
D: 2019-05-14
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Conklin, Beverly
Duane Bagaus
B: 1930-07-09
D: 2019-05-13
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Bagaus, Duane
Matthew Walsh
B: 1934-03-06
D: 2019-05-09
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Walsh, Matthew
Wilma Taute
B: 1932-06-02
D: 2019-05-09
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Taute, Wilma
Patricia Bowman
B: 1928-12-31
D: 2019-05-08
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Bowman, Patricia
Leroy Jessen
B: 1930-03-08
D: 2019-04-27
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Jessen, Leroy
David Clark
B: 1959-05-25
D: 2019-04-25
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Clark, David
Eleanor Hagen
B: 1925-04-09
D: 2019-04-23
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Hagen, Eleanor
Catherine Baker
B: 1951-08-18
D: 2019-04-19
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Baker, Catherine
Ruth Brune
B: 1923-01-16
D: 2019-04-18
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Brune, Ruth
Cattleya Dill
B: 1982-11-27
D: 2019-04-15
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Dill, Cattleya
Glenn Froberg
B: 1926-11-14
D: 2019-04-08
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Froberg, Glenn
Harlin Ohland
B: 1931-03-31
D: 2019-04-06
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Ohland, Harlin
William Wrede
B: 1945-02-08
D: 2019-04-04
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Wrede, William
Erica Freeman
B: 1933-11-28
D: 2019-03-30
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Freeman, Erica
Clayton Kartak
B: 1952-10-27
D: 2019-03-30
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Kartak, Clayton
Mark Risinger
B: 1957-01-15
D: 2019-03-29
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Risinger, Mark
Alice James
B: 1920-07-04
D: 2019-03-28
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James, Alice
Glenn Gillund
B: 1935-02-26
D: 2019-03-28
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Gillund, Glenn
Janet Dalen
B: 1956-02-27
D: 2019-03-25
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Dalen, Janet

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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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