Obituaries

George Campbell
B: 1945-06-26
D: 2018-06-10
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Campbell, George
Douglas Delancey
B: 1957-05-15
D: 2018-06-08
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Delancey, Douglas
Frederick Weiand
B: 1933-06-12
D: 2018-06-07
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Weiand, Frederick
Kathryn Nealman
B: 1945-12-15
D: 2018-06-05
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Nealman, Kathryn
Donald Rhoads
B: 1938-04-24
D: 2018-06-01
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Rhoads, Donald
Erma Richardson
B: 1942-06-23
D: 2018-05-25
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Richardson, Erma
Dennis Foltz
B: 1941-02-28
D: 2018-05-23
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Foltz, Dennis
Naomi Robinson
B: 1927-01-12
D: 2018-05-22
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Robinson, Naomi
Betty Karstetter
B: 1932-02-18
D: 2018-05-15
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Karstetter, Betty
Fayne Wible
B: 1930-12-30
D: 2018-05-09
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Wible, Fayne
Mildred Musser
B: 1922-08-01
D: 2018-05-04
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Musser, Mildred
Faye Landis
B: 1917-12-07
D: 2018-04-29
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Landis, Faye
Edwin Felton
B: 1936-05-07
D: 2018-04-26
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Felton, Edwin
Jean Huff
B: 1948-05-16
D: 2018-04-24
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Huff, Jean
Betty Noss
B: 1930-11-19
D: 2018-04-23
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Noss, Betty
Kathleen Varner
B: 1949-01-23
D: 2018-04-21
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Varner, Kathleen
Wayne Dressler
B: 1938-08-23
D: 2018-04-18
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Dressler, Wayne
Ethel Bashore
B: 1924-04-01
D: 2018-04-12
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Bashore, Ethel
Darwin Ehrenzeller
B: 1936-06-13
D: 2018-04-01
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Ehrenzeller, Darwin
Donald Hart
B: 1948-07-12
D: 2018-03-26
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Hart, Donald
Marjorie Richardson
B: 1929-03-05
D: 2018-03-26
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Richardson, Marjorie

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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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