Obituaries

Lowell Dressler
B: 1949-07-08
D: 2022-05-17
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Dressler, Lowell
Renee Fegley
B: 1968-09-06
D: 2022-05-16
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Fegley, Renee
Kathryn Leach
B: 1951-07-07
D: 2022-05-15
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Leach, Kathryn
Ralph Rice
B: 1947-01-12
D: 2022-05-14
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Rice, Ralph
Kimbra Clark
B: 1965-08-31
D: 2022-05-10
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Clark, Kimbra
Karen Strawser
B: 1967-01-25
D: 2022-05-04
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Strawser, Karen
Isabel Quigley
B: 1932-11-06
D: 2022-05-03
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Quigley, Isabel
Janet Kepner
B: 1954-09-17
D: 2022-05-03
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Kepner, Janet
Brenda Taylor
B: 1945-05-09
D: 2022-04-28
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Taylor, Brenda
Richard Wible
B: 1929-12-08
D: 2022-04-27
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Wible, Richard
Patricia Burkholder
B: 1938-12-25
D: 2022-04-26
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Burkholder, Patricia
Barry Berrier
B: 1954-11-26
D: 2022-04-24
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Berrier, Barry
Richard Arnold
B: 1963-06-08
D: 2022-04-20
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Arnold, Richard
Charlotte Henry
B: 1939-09-01
D: 2022-04-19
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Henry, Charlotte
Kathleen Donaldson
B: 1944-11-25
D: 2022-04-13
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Donaldson, Kathleen
Louise Burd
B: 1935-12-09
D: 2022-04-13
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Burd, Louise
Nancy Feltman
B: 1940-12-03
D: 2022-04-09
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Feltman, Nancy
Alexandra Hostler
B: 2022-04-06
D: 2022-04-06
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Hostler, Alexandra
Ralph Henderson
B: 1953-07-01
D: 2022-04-04
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Henderson, Ralph
Glenn Swartz
B: 1941-04-02
D: 2022-03-25
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Swartz, Glenn
A. Lloyd Brubaker
B: 1945-03-22
D: 2022-03-24
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Brubaker, A. Lloyd

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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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