Obituaries

Lois Crawford
B: 1925-05-03
D: 2017-09-22
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Crawford, Lois
Jean M. Bonebrake
B: 1934-07-16
D: 2017-09-17
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Bonebrake, Jean M.
Loretta VandeRiet
B: 1939-06-19
D: 2017-09-10
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VandeRiet, Loretta
Bernadette R. Thompson
B: 1944-10-26
D: 2017-09-06
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Thompson, Bernadette R.
Ann A, Ford
B: 1919-12-08
D: 2017-09-05
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Ford, Ann A,
James Schmitz
B: 1936-01-13
D: 2017-09-03
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Schmitz, James
Wilbert "Bill" N. Hemken
B: 1931-06-25
D: 2017-09-02
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Hemken, Wilbert "Bill" N.
Dale L. Besse
B: 1932-08-26
D: 2017-09-02
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Besse, Dale L.
Franklin Butts
B: 1936-05-25
D: 2017-08-31
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Butts, Franklin
William Bean
B: 1932-07-31
D: 2017-08-31
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Bean, William
Deane Wilson
B: 1934-04-11
D: 2017-08-28
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Wilson, Deane
Ray Raymer
B: 1936-07-19
D: 2017-08-27
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Raymer, Ray
James Gates
B: 1964-07-20
D: 2017-08-24
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Gates, James
Rachel Shively
B: 1993-07-19
D: 2017-08-22
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Shively, Rachel
April Leech
B: 1978-07-31
D: 2017-08-20
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Leech, April
Mary Klawonn
B: 1917-04-28
D: 2017-08-19
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Klawonn, Mary
Doris McGinnis
B: 1928-11-29
D: 2017-08-17
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McGinnis, Doris
Darin Yureck
B: 1965-08-04
D: 2017-08-16
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Yureck, Darin
Ray Morris
B: 1929-11-14
D: 2017-08-15
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Morris, Ray
Jameson Foster
B: 2017-08-11
D: 2017-08-11
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Foster, Jameson
Glori Wenzel
B: 1938-09-17
D: 2017-08-10
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Wenzel, Glori

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501 West Main Street
Collinsville, IL 62234
Phone: (618) 344-0187
Fax: (618) 345-4377

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Herr Funeral Home & Cremation Services, please notify us first by phone at (618) 344-0187.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
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/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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