Obituaries

Marcia Mesman
B: 1942-12-28
D: 2017-11-17
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Mesman, Marcia
Darrell Kuipers
B: 1954-01-13
D: 2017-11-08
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Kuipers, Darrell
Janet DeJong
B: 1917-10-27
D: 2017-11-07
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DeJong, Janet
Wesley Hoekman
B: 1943-01-14
D: 2017-11-03
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Hoekman, Wesley
Alfred Gabrielson
B: 1920-04-08
D: 2017-10-30
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Gabrielson, Alfred
Florence Westra
B: 1930-04-01
D: 2017-10-28
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Westra, Florence
Helen Boyd
B: 1955-04-07
D: 2017-10-25
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Boyd, Helen
Anna VanderPol
B: 1922-04-24
D: 2017-10-22
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VanderPol, Anna
Dolores Kalda
B: 1926-04-24
D: 2017-10-16
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Kalda, Dolores
Judith DeJong
B: 1937-03-17
D: 2017-10-09
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DeJong, Judith
Dale Vanden Bos
B: 1953-06-15
D: 2017-10-07
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Vanden Bos, Dale
Mary Ellen Cox
B: 1922-07-16
D: 2017-10-06
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Cox, Mary Ellen
Vera Nelson
B: 1927-01-24
D: 2017-10-04
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Nelson, Vera
Jeanne Landers
B: 1930-07-29
D: 2017-10-02
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Landers, Jeanne
Leonard McGregor
B: 1935-08-26
D: 2017-10-01
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McGregor, Leonard
LaVern Leftwich
B: 1936-03-19
D: 2017-09-23
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Leftwich, LaVern
Donna Hoing
B: 1939-05-23
D: 2017-09-18
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Hoing, Donna
Kali Dilsaver
B: 2015-03-19
D: 2017-09-09
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Dilsaver, Kali
Marvin Hoffer
B: 1930-03-09
D: 2017-08-28
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Hoffer, Marvin
George Shea
B: 1947-11-10
D: 2017-08-27
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Shea, George
Helen Van Zee
B: 1942-09-29
D: 2017-08-14
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Van Zee, Helen

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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:

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