Obituaries

Erma Wall
B: 1933-03-15
D: 2018-02-18
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Wall, Erma
Clyde Barth
B: 1928-07-22
D: 2018-02-15
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Barth, Clyde
Annie Rayson
B: 1934-12-27
D: 2018-02-13
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Rayson, Annie
Matthew Tornambe
B: 1951-06-02
D: 2018-02-05
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Tornambe, Matthew
Thelma Bitting
B: 1927-09-18
D: 2018-02-02
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Bitting, Thelma
Dorothy Yoder
B: 1958-01-16
D: 2018-01-23
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Yoder, Dorothy
Harry Dunn
B: 1939-10-12
D: 2018-01-17
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Dunn, Harry
Vera Smith
B: 1918-12-15
D: 2018-01-16
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Smith, Vera
Larry Swartz
B: 1945-02-14
D: 2018-01-12
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Swartz, Larry
Daniel Charlton
B: 1952-08-20
D: 2018-01-08
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Charlton, Daniel
Leon Gutshall
B: 1937-04-06
D: 2018-01-07
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Gutshall, Leon
Michael Swartz
B: 1948-10-18
D: 2017-12-17
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Swartz, Michael
Mary Zangrilli
B: 1953-09-21
D: 2017-12-16
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Zangrilli, Mary
Lois Norris
B: 1918-04-09
D: 2017-12-14
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Norris, Lois
Alma Stuck
B: 1923-10-26
D: 2017-12-13
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Stuck, Alma
William Zeiders
B: 1947-10-09
D: 2017-12-08
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Zeiders, William
M. Catherine Peterson
B: 1928-10-08
D: 2017-12-05
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Peterson, M. Catherine
Alma Pennabaker
B: 1931-09-11
D: 2017-12-04
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Pennabaker, Alma
Homer Hucthinson
B: 1930-04-14
D: 2017-11-28
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Hucthinson, Homer
Edna Thompson
B: 1950-12-16
D: 2017-11-22
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Thompson, Edna
Ethel Beasom
B: 1935-08-30
D: 2017-11-21
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Beasom, Ethel

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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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