Obituaries

Obed Moore
B: 1931-03-16
D: 2020-02-17
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Moore, Obed
Shirley Yorks
B: 1935-12-24
D: 2020-02-16
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Yorks, Shirley
Ronald Clark
B: 1942-09-01
D: 2020-02-13
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Clark, Ronald
Thelma Cupp
B: 1928-12-02
D: 2020-02-12
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Cupp, Thelma
Harold Leach
B: 1936-01-01
D: 2020-02-07
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Leach, Harold
John Reichenbach
B: 1947-05-11
D: 2020-02-06
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Reichenbach, John
Linda Chronister
B: 1951-10-06
D: 2020-02-05
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Chronister, Linda
James Zeiders
B: 1970-10-16
D: 2020-02-03
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Zeiders, James
Robert Strawser
B: 1958-02-18
D: 2020-01-27
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Strawser, Robert
Hilary Arnold
B: 1984-07-04
D: 2020-01-22
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Arnold, Hilary
Margaret Reynolds
B: 1930-12-20
D: 2020-01-19
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Reynolds, Margaret
Wayne Goodling
B: 1922-01-08
D: 2020-01-19
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Goodling, Wayne
Angelica Hannon
B: 1943-11-01
D: 2020-01-16
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Hannon, Angelica
Jane Depew
B: 1931-08-24
D: 2020-01-14
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Depew, Jane
Cody Fetters
B: 1996-11-19
D: 2020-01-11
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Fetters, Cody
Lois Hoffman
B: 1954-03-11
D: 2020-01-03
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Hoffman, Lois
Betty Horning
B: 1922-02-25
D: 2020-01-02
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Horning, Betty
Donald Anthony
B: 1929-07-18
D: 2019-12-31
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Anthony, Donald
Donald Clark
B: 1946-03-31
D: 2019-12-29
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Clark, Donald
Karen Arnold
B: 1942-11-27
D: 2019-12-29
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Arnold, Karen
Miriam Ramsey
B: 1933-08-19
D: 2019-12-20
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Ramsey, Miriam

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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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