Obituaries

Wayne Dressler
B: 1938-08-23
D: 2018-04-18
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Dressler, Wayne
Ethel Bashore
B: 1924-04-01
D: 2018-04-12
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Bashore, Ethel
Darwin Ehrenzeller
B: 1936-06-13
D: 2018-04-01
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Ehrenzeller, Darwin
Donald Hart
B: 1948-07-12
D: 2018-03-26
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Hart, Donald
Marjorie Richardson
B: 1929-03-05
D: 2018-03-26
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Richardson, Marjorie
Roy Spade
B: 1954-03-16
D: 2018-03-25
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Spade, Roy
Donald Lewis
B: 1931-11-05
D: 2018-03-22
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Lewis, Donald
Dorothy Sankey
B: 1933-01-14
D: 2018-03-18
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Sankey, Dorothy
Arthur Ehrenzeller
B: 1940-05-13
D: 2018-03-16
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Ehrenzeller, Arthur
Erika Hunker
B: 1939-08-29
D: 2018-03-16
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Hunker, Erika
Sherman Weller
B: 1944-07-09
D: 2018-03-16
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Weller, Sherman
James Esterline
B: 1943-06-21
D: 2018-03-12
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Esterline, James
Donald Adams
B: 1925-06-15
D: 2018-03-09
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Adams, Donald
Ruth Hepner
B: 1933-11-07
D: 2018-03-08
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Hepner, Ruth
Harold Kipp
B: 1922-04-10
D: 2018-03-07
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Kipp, Harold
L. Louise Kipp
B: 1925-05-08
D: 2018-03-07
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Kipp, L. Louise
Jane Cleck
B: 1921-09-05
D: 2018-03-07
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Cleck, Jane
Erma Diffenderfer
B: 1930-08-04
D: 2018-03-04
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Diffenderfer, Erma
Calvin Zeiders
B: 1934-09-23
D: 2018-02-28
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Zeiders, Calvin
Marvin Hockenberry
B: 1952-07-01
D: 2018-02-25
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Hockenberry, Marvin
Betty Shirk
B: 1927-02-27
D: 2018-02-24
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Shirk, Betty

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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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