Obituaries

Viola Vander Tuin
B: 1930-07-06
D: 2017-07-20
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Vander Tuin, Viola
Jerry Hudek
B: 1925-01-15
D: 2017-07-09
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Hudek, Jerry
Janet Strickland-Collins
B: 1950-09-03
D: 2017-07-07
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Strickland-Collins, Janet
Harvey Mount
B: 1945-08-21
D: 2017-07-05
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Mount, Harvey
Heretta Leinan
B: 1940-11-11
D: 2017-06-29
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Leinan, Heretta
David Brummel
B: 1951-02-22
D: 2017-06-22
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Brummel, David
Jennie Kaemingk
B: 1921-02-01
D: 2017-06-13
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Kaemingk, Jennie
Daniel Freysinger
B: 1947-02-20
D: 2017-06-12
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Freysinger, Daniel
Lyle Carman
B: 1925-03-17
D: 2017-06-10
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Carman, Lyle
Bernice Hill
B: 1920-10-13
D: 2017-06-07
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Hill, Bernice
Ruth Guindon
B: 1933-01-29
D: 2017-06-04
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Guindon, Ruth
Alden Wilhoyt
B: 2017-05-29
D: 2017-05-29
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Wilhoyt, Alden
Phyllis Wulf
B: 1925-10-18
D: 2017-05-29
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Wulf, Phyllis
Harriet Meyerink
B: 1929-11-05
D: 2017-05-27
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Meyerink, Harriet
Donna Jones
B: 1932-11-25
D: 2017-05-24
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Jones, Donna
Rudolph Johnson
B: 1925-04-26
D: 2017-05-22
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Johnson, Rudolph
Patricia Sluiter
B: 1930-03-31
D: 2017-05-14
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Sluiter, Patricia
Susie DeWaard
B: 1937-07-09
D: 2017-04-29
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DeWaard, Susie
Carol Heath
B: 1939-03-02
D: 2017-04-26
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Heath, Carol
Maxine Johnson
B: 1919-03-10
D: 2017-04-21
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Johnson, Maxine
Alice Lucas
B: 1935-01-18
D: 2017-04-14
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Lucas, Alice

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520 S. Main St., PO Box 363
Platte, SD 57369
Phone: 605-337-3857
Fax: 605-337-2374

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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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