Obituaries

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
William Frey
B: 1926-11-06
D: 2017-11-19
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Frey, William
Herman Leach
B: 1942-05-16
D: 2017-11-16
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Leach, Herman
Ronald Leppert
B: 1930-11-29
D: 2017-11-03
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Leppert, Ronald
Jeremiah Brackbill
B: 1986-06-23
D: 2017-11-03
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Brackbill, Jeremiah
Timothy Beaston
B: 1961-08-29
D: 2017-11-01
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Beaston, Timothy
Letha Swab
B: 1937-06-10
D: 2017-10-29
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Swab, Letha
Melissa Hench
B: 1965-08-10
D: 2017-10-27
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Hench, Melissa
Ronald Williams
B: 1934-01-13
D: 2017-10-27
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Williams, Ronald
Walter Jones
B: 1938-03-10
D: 2017-10-25
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Jones, Walter
Ralph Hanawalt
B: 1944-06-27
D: 2017-10-25
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Hanawalt, Ralph
Rosemary Pyle
B: 1931-04-07
D: 2017-10-24
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Pyle, Rosemary
Harvey Hepner
B: 1930-04-26
D: 2017-10-21
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Hepner, Harvey
Reba Frymoyer
B: 1928-03-13
D: 2017-10-12
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Frymoyer, Reba
Marjorie Kistler
B: 1945-04-20
D: 2017-10-09
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Kistler, Marjorie
George Leahy
B: 1933-10-09
D: 2017-10-08
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Leahy, 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

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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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