Obituaries

Carl Burdge
B: 1945-07-31
D: 2018-12-15
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Burdge, Carl
Ethel Horning
B: 1934-03-04
D: 2018-12-13
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Horning, Ethel
Tammy Dorward
B: 1959-10-28
D: 2018-12-12
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Dorward, Tammy
Sarah Foltz
B: 1937-01-26
D: 2018-12-12
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Foltz, Sarah
Rachelle Flanagan
B: 1963-03-12
D: 2018-12-11
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Flanagan, Rachelle
Bernice Bassler
B: 1922-06-26
D: 2018-11-30
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Bassler, Bernice
L. Wilbur Brubaker
B: 1934-05-30
D: 2018-11-27
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Brubaker, L. Wilbur
Dorothy Beward
B: 1927-12-14
D: 2018-11-27
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Beward, Dorothy
David Shetron
B: 1986-08-04
D: 2018-11-27
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Shetron, David
Gerald Borhman
B: 1946-11-05
D: 2018-11-24
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Borhman, Gerald
Naomi Harvey
B: 1937-09-20
D: 2018-11-19
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Harvey, Naomi
Don Groninger
B: 1925-07-30
D: 2018-11-16
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Groninger, Don
Marian Metz
B: 1918-06-29
D: 2018-11-16
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Metz, Marian
Marcus Haas
B: 1953-02-07
D: 2018-11-16
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Haas, Marcus
Martha Fosselman
B: 1929-02-04
D: 2018-11-09
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Fosselman, Martha
Michael Shelley
B: 1957-08-08
D: 2018-11-06
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Shelley, Michael
Linda First
B: 1945-09-01
D: 2018-11-01
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First, Linda
Merrill Hood
B: 1928-11-03
D: 2018-10-29
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Hood, Merrill
Melvin Hoover
B: 1960-08-10
D: 2018-10-23
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Hoover, Melvin
Patricia Lesh
B: 1943-04-02
D: 2018-10-13
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Lesh, Patricia
Florence Long
B: 1925-09-15
D: 2018-10-01
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Long, Florence

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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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