Obituaries

Michael Livermore
B: 1952-09-27
D: 2019-08-17
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Livermore, Michael
George Phelps
B: 1938-04-25
D: 2019-08-16
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Phelps, George
Dennis Groetken
B: 1942-04-08
D: 2019-08-06
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Groetken, Dennis
Kyle Beach
B: 1988-11-12
D: 2019-08-04
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Beach, Kyle
Virginia Brangwin
B: 1927-01-17
D: 2019-08-04
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Brangwin, Virginia
Wanda Camerer
B: 1940-09-13
D: 2019-07-26
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Camerer, Wanda
Kenneth Van Grouw
B: 1939-09-21
D: 2019-07-24
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Van Grouw, Kenneth
James Olson
B: 1931-01-04
D: 2019-07-18
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Olson, James
Mavis Johnson
B: 1930-11-08
D: 2019-07-17
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Johnson, Mavis
Curtis Ross
B: 1937-01-05
D: 2019-07-09
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Ross, Curtis
Linda Nelson
B: 1953-09-20
D: 2019-07-05
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Nelson, Linda
Ryan Toel
B: 1982-06-03
D: 2019-07-03
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Toel, Ryan
Lois Mayer
B: 1927-08-25
D: 2019-06-23
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Mayer, Lois
Rita Krause
B: 1920-08-13
D: 2019-06-22
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Krause, Rita
Janice Stabe
B: 1937-04-17
D: 2019-06-21
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Stabe, Janice
Timothy Brownmiller
B: 1955-06-02
D: 2019-06-16
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Brownmiller, Timothy
Joseph Nelson
B: 1955-10-25
D: 2019-06-12
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Nelson, Joseph
Joseph Kass
B: 1919-12-23
D: 2019-06-04
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Kass, Joseph
Clifford Johnson
B: 1940-11-23
D: 2019-05-17
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Johnson, Clifford
Michael Westergard
B: 1952-12-28
D: 2019-05-15
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Westergard, Michael
Marlene Winterfeld
B: 1940-09-16
D: 2019-05-01
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Winterfeld, Marlene

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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:

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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