Obituaries

Dale Nuzum
B: 1945-12-13
D: 2023-09-09
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Nuzum, Dale
Alberta Smith
B: 1932-07-19
D: 2023-09-04
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Smith, Alberta
Milton Wurth
B: 1944-04-27
D: 2023-08-31
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Wurth, Milton
Jolene Hamann
B: 1931-05-21
D: 2023-08-26
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Hamann, Jolene
Karen Bugge
B: 1953-05-06
D: 2023-08-26
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Bugge, Karen
Michael Deichmann
B: 1994-10-05
D: 2023-08-26
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Deichmann, Michael
Dorothy Herbst
B: 1932-12-25
D: 2023-08-14
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Herbst, Dorothy
Jerry Witt
B: 1933-07-05
D: 2023-08-11
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Witt, Jerry
Donald Kellen
B: 1931-09-14
D: 2023-08-09
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Kellen, Donald
Lila Galles
B: 1944-04-08
D: 2023-08-09
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Galles, Lila
Dorathe Nielsen
B: 1929-04-22
D: 2023-08-06
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Nielsen, Dorathe
LaVon Holton
B: 1938-04-08
D: 2023-08-03
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Holton, LaVon
Thomas Bryant
B: 1960-05-07
D: 2023-08-02
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Bryant, Thomas
Elizabeth Seggerman
B: 1927-06-14
D: 2023-07-26
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Seggerman, Elizabeth
Ruth Stone
B: 1927-02-03
D: 2023-07-17
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Stone, Ruth
Joseph Durband
B: 1932-06-21
D: 2023-07-14
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Durband, Joseph
Constance Vornbrock
B: 1950-10-31
D: 2023-07-14
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Vornbrock, Constance
Christopher Davis
B: 1987-06-15
D: 2023-07-09
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Davis, Christopher
Sylvia Sanchez-Felix
B: 1947-06-26
D: 2023-07-05
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Sanchez-Felix, Sylvia
Barton Ruby
B: 1944-10-19
D: 2023-07-05
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Ruby, Barton
Nancy Busch
B: 1942-12-14
D: 2023-06-30
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Busch, Nancy

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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