Obituaries

Stephen Strub
B: 1927-05-06
D: 2019-11-08
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Strub, Stephen
Frank Hutchinson
B: 1970-02-14
D: 2019-11-06
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Hutchinson, Frank
Darrell Linton
B: 1935-09-30
D: 2019-10-31
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Linton, Darrell
Richard Geerdes
B: 1968-06-17
D: 2019-10-30
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Geerdes, Richard
Ralph Hyer
B: 1937-05-15
D: 2019-10-27
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Hyer, Ralph
Carol Klein
B: 1942-10-15
D: 2019-10-23
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Klein, Carol
Jacob Pick
B: 1934-12-31
D: 2019-10-22
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Pick, Jacob
Pearl Driscoll
B: 1923-08-02
D: 2019-10-17
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Driscoll, Pearl
Catherine Den Hartog
B: 1927-04-14
D: 2019-10-17
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Den Hartog, Catherine
Jean Treinen
B: 1955-10-11
D: 2019-10-14
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Treinen, Jean
Edith Sand
B: 1923-10-13
D: 2019-10-12
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Sand, Edith
Jane Dimig
B: 1935-06-27
D: 2019-10-10
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Dimig, Jane
Charlie Nelson
B: 1987-10-11
D: 2019-09-28
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Nelson, Charlie
Tammy Juzek
B: 1969-02-20
D: 2019-09-16
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Juzek, Tammy
Milton Delperdang
B: 1923-07-12
D: 2019-09-15
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Delperdang, Milton
Lois Galles
B: 1942-06-13
D: 2019-09-12
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Galles, Lois
Joan Heissel
B: 1931-04-28
D: 2019-09-12
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Heissel, Joan
Loren Gotto
B: 1948-02-10
D: 2019-09-12
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Gotto, Loren
Ronald Jones
B: 1937-10-18
D: 2019-08-31
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Jones, Ronald
Delores Grauer
B: 1928-11-23
D: 2019-08-29
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Grauer, Delores
Barbara Lauters
B: 1939-05-27
D: 2019-08-24
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Lauters, Barbara

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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