Obituaries

Earl Guyer
B: 1925-01-14
D: 2023-03-16
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Guyer, Earl
Warren Grupe
B: 1933-12-27
D: 2023-03-12
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Grupe, Warren
Donald Jackson
B: 1934-12-25
D: 2023-03-08
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Jackson, Donald
Ronald Stong
B: 1942-03-26
D: 2023-03-08
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Stong, Ronald
Norma Strawser
B: 1934-10-02
D: 2023-03-06
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Strawser, Norma
Gail Griffin
B: 1939-06-14
D: 2023-03-06
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Griffin, Gail
Ruth Mingle
B: 1948-12-10
D: 2023-03-02
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Mingle, Ruth
Donna Shelley
B: 1932-08-03
D: 2023-02-28
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Shelley, Donna
Ray Miller
B: 1929-04-10
D: 2023-02-24
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Miller, Ray
Tracy Waite
B: 1953-07-15
D: 2023-02-22
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Waite, Tracy
Robert Berry
B: 1931-07-20
D: 2023-02-20
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Berry, Robert
Mary Hart
B: 1953-03-05
D: 2023-02-19
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Hart, Mary
Furman Dalton
B: 1972-05-08
D: 2023-02-19
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Dalton, Furman
Tina Teague
B: 1969-07-20
D: 2023-02-17
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Teague, Tina
Norma Master
B: 1943-06-21
D: 2023-02-14
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Master, Norma
Ray Oberlin
B: 1938-12-05
D: 2023-02-13
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Oberlin, Ray
Wilma Dietz
B: 1930-10-02
D: 2023-02-09
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Dietz, Wilma
Roger Potter
B: 1958-02-20
D: 2023-02-05
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Potter, Roger
Kathy Kraft
B: 1950-07-10
D: 2023-01-27
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Kraft, Kathy
David Phelan
B: 1947-08-15
D: 2023-01-21
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Phelan, David
Carol Filler
B: 1961-02-14
D: 2023-01-15
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Filler, Carol

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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:

Miscellaneous Notes and Instructions:

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