Obituaries

Nancy Kreider
B: 1950-12-11
D: 2024-05-20
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Kreider, Nancy
Frank Wright
B: 1940-09-09
D: 2024-05-19
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Wright, Frank
Christopher Berry
B: 1972-10-30
D: 2024-05-18
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Berry, Christopher
Timothy Smith
B: 1964-07-18
D: 2024-05-18
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Smith, Timothy
Glenn Seiler
B: 1931-12-10
D: 2024-05-17
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Seiler, Glenn
Clifford Trego
B: 1949-09-17
D: 2024-05-16
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Trego, Clifford
Lynetta Gearhart
B: 1951-11-05
D: 2024-05-10
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Gearhart, Lynetta
Kathie Eichenberger
B: 1953-03-04
D: 2024-05-09
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Eichenberger, Kathie
Betty Campbell
B: 1944-03-04
D: 2024-05-09
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Campbell, Betty
Karen Wright
B: 1951-07-12
D: 2024-05-04
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Wright, Karen
Ann Danner
B: 1935-01-19
D: 2024-04-30
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Danner, Ann
R. Love
B: 1933-12-18
D: 2024-04-30
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Love, R.
Anna Hoover
B: 1959-06-08
D: 2024-04-27
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Hoover, Anna
Roger Geedey
B: 1955-06-17
D: 2024-04-26
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Geedey, Roger
Richard Kauffman
B: 1934-10-24
D: 2024-04-25
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Kauffman, Richard
Lisa Bottorff
B: 1979-07-22
D: 2024-04-24
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Bottorff, Lisa
Phyllis Kinzer
B: 1935-03-07
D: 2024-04-20
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Kinzer, Phyllis
David Gray
B: 1949-08-19
D: 2024-04-18
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Gray, David
Shirley Baade
B: 1937-03-05
D: 2024-04-17
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Baade, Shirley
Scott Darrow
B: 1964-12-15
D: 2024-04-15
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Darrow, Scott
Phoebe Lauver
B: 2024-04-09
D: 2024-04-13
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Lauver, Phoebe

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100 Bridge St.
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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