Obituaries

Betty Fegan
B: 1928-03-07
D: 2018-08-16
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Fegan, Betty
Crystal Shaffer
B: 1970-07-03
D: 2018-08-10
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Shaffer, Crystal
John Robinson
B: 1953-07-26
D: 2018-08-03
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Robinson, John
Alan Fromm
B: 1948-10-09
D: 2018-07-29
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Fromm, Alan
Willard Hess
B: 1937-11-16
D: 2018-07-26
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Hess, Willard
Edward Singer
B: 1938-06-28
D: 2018-07-25
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Singer, Edward
Ray Peterson
B: 1931-04-17
D: 2018-07-22
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Peterson, Ray
Arlene Brubaker
B: 1923-08-07
D: 2018-07-22
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Brubaker, Arlene
Catherine Allen
B: 1967-04-21
D: 2018-07-17
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Allen, Catherine
Brenda Guss
B: 1949-11-25
D: 2018-07-16
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Guss, Brenda
Sara Burchfield
B: 1920-05-19
D: 2018-07-14
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Burchfield, Sara
David Weaver
B: 1963-08-30
D: 2018-07-12
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Weaver, David
Harry Ulsh
B: 1960-02-20
D: 2018-07-12
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Ulsh, Harry
Charles Henry
B: 1936-08-24
D: 2018-07-11
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Henry, Charles
Sue Leister
B: 1936-08-20
D: 2018-07-11
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Leister, Sue
Beverly Reynolds
B: 1940-01-06
D: 2018-07-11
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Reynolds, Beverly
James Graham
B: 1924-12-24
D: 2018-07-06
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Graham, James
Curtis Gutshall
B: 1952-09-27
D: 2018-06-25
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Gutshall, Curtis
William Eaton
B: 1964-07-05
D: 2018-06-24
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Eaton, William
Donald Campbell
B: 1932-01-25
D: 2018-06-19
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Campbell, Donald
George Campbell
B: 1945-06-26
D: 2018-06-10
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Campbell, George

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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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