Obituaries

Randall Janisch
B: 1967-03-02
D: 2024-06-11
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Janisch, Randall
Richard Hutton
B: 1954-09-30
D: 2024-06-10
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Hutton, Richard
Andrew Reeves
B: 1968-11-30
D: 2024-06-08
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Reeves, Andrew
Sharon Smith
B: 1954-03-10
D: 2024-06-08
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Smith, Sharon
Fred Hensler
B: 1953-04-10
D: 2024-06-06
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Hensler, Fred
Vivian Redd
B: 1934-01-21
D: 2024-05-30
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Redd, Vivian
Thelma Wiss
B: 1931-04-16
D: 2024-05-29
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Wiss, Thelma
Mary Walter
B: 1942-03-03
D: 2024-05-24
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Walter, Mary
Deborah Ripperda
B: 1951-01-06
D: 2024-05-23
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Ripperda, Deborah
Jeanette Hoyt
B: 1931-12-13
D: 2024-05-20
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Hoyt, Jeanette
Randall Moore
B: 1947-01-27
D: 2024-05-19
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Moore, Randall
Debra Lindemann
B: 1957-08-27
D: 2024-05-13
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Lindemann, Debra
Donald Steinkamp
B: 1937-12-26
D: 2024-05-08
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Steinkamp, Donald
Gwendolyn Keck
B: 1963-12-24
D: 2024-05-07
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Keck, Gwendolyn
Dixielee Ross
B: 1937-08-11
D: 2024-05-05
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Ross, Dixielee
Lilly Smith
B: 1942-11-06
D: 2024-04-26
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Smith, Lilly
David Barr
B: 1971-11-28
D: 2024-04-26
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Barr, David
Mark Rafferty
B: 1965-02-10
D: 2024-04-20
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Rafferty, Mark
Katherine Jensen
B: 1986-05-31
D: 2024-04-15
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Jensen, Katherine
MaryAnn Steinkamp
B: 1936-12-02
D: 2024-04-09
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Steinkamp, MaryAnn
Melissa Wieseman
B: 1975-01-05
D: 2024-04-08
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Wieseman, Melissa

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Lebanon, IL 62254
Phone: 618-622-4900
Fax: 618-622-4949

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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:

Miscellaneous Notes and Instructions:

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