Obituaries

Andre' Larson
B: 1942-11-10
D: 2017-03-24
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Larson, Andre'
Kathleen Carlson
B: 1927-05-07
D: 2017-03-23
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Carlson, Kathleen
Thomas Engwell
B: 1948-12-16
D: 2017-03-22
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Engwell, Thomas
Richard Olson
B: 1948-06-08
D: 2017-03-21
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Olson, Richard
Fern Morse
B: 1920-09-30
D: 2017-03-19
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Morse, Fern
Larry Nielsen
B: 1945-09-10
D: 2017-03-16
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Nielsen, Larry
Carol Pollman
B: 1944-08-06
D: 2017-03-13
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Pollman, Carol
Steve Stewart
B: 1951-02-02
D: 2017-03-12
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Stewart, Steve
Bernice Jespergaard
B: 1925-11-13
D: 2017-03-09
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Jespergaard, Bernice
Richard Fincher
B: 1944-07-01
D: 2017-03-06
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Fincher, Richard
Dorsie Jensen
B: 1929-04-02
D: 2017-02-28
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Jensen, Dorsie
Allen Larson
B: 1943-06-01
D: 2017-02-28
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Larson, Allen
Amanda Bak
B: 1989-05-17
D: 2017-02-27
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Bak, Amanda
Norbert Pesicka
B: 1932-10-31
D: 2017-02-27
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Pesicka, Norbert
Mary Redlin
B: 1956-01-31
D: 2017-02-21
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Redlin, Mary
Carol Kruse
B: 1955-06-19
D: 2017-02-13
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Kruse, Carol
Fern Marvin
B: 1923-12-09
D: 2017-02-09
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Marvin, Fern
Helen Chilarski
B: 1921-05-22
D: 2017-02-05
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Chilarski, Helen
Edis Anderson
B: 1925-03-26
D: 2017-02-04
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Anderson, Edis
Michael Taylor
B: 1942-03-08
D: 2017-01-30
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Taylor, Michael
Helen Johnson
B: 1919-09-16
D: 2017-01-28
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Johnson, Helen

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Vermillion, SD 57069
Phone: 605-624-2829
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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:

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