| Name: | Nickolai William P |
| Address: | 197 West Chestnut Street |
| City: | Burlington |
| State: | Wisconsin |
| Zipcode: | 53105 |
| Phone Number: | (262)763-0883 |
| Name: | Stellmacher Constance A |
| Address: | 101 East State Street |
| City: | Burlington |
| State: | Wisconsin |
| Zipcode: | 53105 |
| Phone Number: | (262)763-5050 |