Obituaries

Morris Nissen
B: 1945-05-05
D: 2017-11-19
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Nissen, Morris
Joanne Sneller
B: 1927-03-15
D: 2017-11-06
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Sneller, Joanne
Marie Singer
B: 1920-05-25
D: 2017-10-27
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Singer, Marie
Samuel Young
B: 1987-08-28
D: 2017-10-27
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Young, Samuel
Mary Sorgdrager
B: 1924-04-15
D: 2017-10-26
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Sorgdrager, Mary
Amy Squibb
B: 1977-09-01
D: 2017-10-26
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Squibb, Amy
Dorothy Crowley
B: 1927-10-04
D: 2017-10-26
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Crowley, Dorothy
Wilma McMahon
B: 1915-02-09
D: 2017-10-20
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McMahon, Wilma
John Frahm
B: 1934-12-29
D: 2017-09-24
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Frahm, John
Mildred Kurtz
B: 1921-03-27
D: 2017-09-21
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Kurtz, Mildred
Martha Vander Tuig
B: 1921-07-03
D: 2017-09-17
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Vander Tuig, Martha
Francis Berens
B: 1926-03-21
D: 2017-09-15
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Berens, Francis
Walter Kern
B: 1937-02-09
D: 2017-09-14
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Kern, Walter
Donna Lyman
B: 1942-10-05
D: 2017-09-14
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Lyman, Donna
Dorothea De Boer
B: 1922-04-06
D: 2017-09-13
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De Boer, Dorothea
Wendell Johnson
B: 1940-05-07
D: 2017-09-08
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Johnson, Wendell
Richard Plueger
B: 1964-01-10
D: 2017-09-02
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Plueger, Richard
John Emge
B: 1937-11-06
D: 2017-08-26
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Emge, John
Kathleen Bogenrief
B: 1919-10-03
D: 2017-08-22
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Bogenrief, Kathleen
Roger Van Meveren
B: 1947-08-18
D: 2017-08-17
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Van Meveren, Roger
Vivian Lemke
B: 1937-05-16
D: 2017-08-10
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Lemke, Vivian

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780 12th St. SW
P.O. Box 822
Le Mars, IA 51031
Phone: 712-546-4903
Fax: 712-546-4710

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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:

Please select one of the options below:

Please send me information

Please contact me to schedule an appointment

Please place my information on file


 

 

 

 

 

 

712-546-4903
Mauer - Johnson Funeral Home
780 12th St. SW
Le Mars, IA 51031
712-376-2727
Earnest - Johnson Funeral Home
206 East Pine
Marcus, IA 51035
712-378-3031
Johnson - Earnest Funeral Home
313 Barre St.
Kingsley, IA 51028