Obituaries

Barbara Barnett
B: 1939-11-13
D: 2024-02-29
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Barnett, Barbara
Shirley Schlegel
B: 1936-10-22
D: 2024-02-28
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Schlegel, Shirley
Pauline Clouser
B: 1929-05-10
D: 2024-02-26
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Clouser, Pauline
Robert Watts
B: 1943-09-15
D: 2024-02-24
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Watts, Robert
Alice Baker
B: 1946-11-04
D: 2024-02-23
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Baker, Alice
Wilma Kauffman
B: 1932-01-27
D: 2024-02-23
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Kauffman, Wilma
Donna Lauver
B: 1941-12-15
D: 2024-02-19
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Lauver, Donna
Lee Glass
B: 1936-09-23
D: 2024-02-18
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Glass, Lee
Juan Ortega
B: 1982-05-30
D: 2024-02-16
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Ortega, Juan
Beryl Smith
B: 1929-09-30
D: 2024-02-15
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Smith, Beryl
Lois Troutman
B: 1951-07-13
D: 2024-02-10
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Troutman, Lois
Robert Eargle
B: 1935-12-21
D: 2024-02-03
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Eargle, Robert
William Bratton
B: 1935-10-31
D: 2024-02-01
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Bratton, William
E. Murphy
B: 1939-09-05
D: 2024-01-31
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Murphy, E.
Robert Yorks
B: 1931-01-24
D: 2024-01-30
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Yorks, Robert
Ruth Knepp
B: 1944-07-28
D: 2024-01-26
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Knepp, Ruth
Ronald Julian
B: 1953-08-30
D: 2024-01-24
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Julian, Ronald
Linda Colyer
B: 1961-12-04
D: 2024-01-21
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Colyer, Linda
Edward Mayes
B: 1943-07-17
D: 2024-01-19
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Mayes, Edward
John Ritchey
B: 1952-04-18
D: 2024-01-11
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Ritchey, John
Adaline Pellman
B: 1929-04-02
D: 2024-01-09
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Pellman, Adaline

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Mifflintown, PA 17059
Phone: 717-436-6252
Fax: 717-436-6912

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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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