Obituaries

William Harlan
B: 1960-06-21
D: 2023-06-03
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Harlan, William
Sarah Yorks
B: 1930-09-23
D: 2023-05-30
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Yorks, Sarah
Robert Miller
B: 1944-06-08
D: 2023-05-23
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Miller, Robert
John Sprenkle
B: 1956-02-22
D: 2023-05-22
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Sprenkle, John
Marcia Naylor
B: 1940-01-28
D: 2023-05-16
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Naylor, Marcia
Madeline Campbell
B: 1943-05-09
D: 2023-05-14
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Campbell, Madeline
Donna Barth
B: 1935-08-29
D: 2023-05-13
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Barth, Donna
Lois Fanus
B: 1931-10-01
D: 2023-05-12
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Fanus, Lois
Robert Dillman
B: 1957-01-25
D: 2023-05-11
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Dillman, Robert
John Yohn
B: 1947-01-29
D: 2023-05-06
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Yohn, John
Harold Amey
B: 1931-07-23
D: 2023-05-05
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Amey, Harold
Orpha Forry
B: 1926-12-17
D: 2023-05-05
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Forry, Orpha
Janet Henry
B: 1943-06-07
D: 2023-05-01
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Henry, Janet
Lucy Vawn
B: 1956-12-22
D: 2023-05-01
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Vawn, Lucy
Harold Shearer
B: 1935-12-30
D: 2023-05-01
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Shearer, Harold
Dennis Maurer
B: 1953-06-16
D: 2023-04-26
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Maurer, Dennis
Cindy Peel
B: 1946-09-17
D: 2023-04-23
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Peel, Cindy
T. Burdge
B: 1929-12-08
D: 2023-04-12
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Burdge, T.
Sally Ehrenzeller
B: 1949-08-23
D: 2023-04-07
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Ehrenzeller, Sally
Graham Taylor
B: 1939-02-03
D: 2023-04-04
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Taylor, Graham
Betty Arentz
B: 1942-12-31
D: 2023-03-31
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Arentz, Betty

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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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