Obituaries

Janet Bryan
B: 1940-02-13
D: 2020-08-05
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Bryan, Janet
Eva Miley
B: 1935-07-23
D: 2020-08-04
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Miley, Eva
Helen Schaeffer
B: 1935-03-19
D: 2020-08-04
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Schaeffer, Helen
Ruth Allen
B: 1946-08-04
D: 2020-07-29
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Allen, Ruth
Mildred Daihl
B: 1934-01-13
D: 2020-07-28
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Daihl, Mildred
Harry Doyle
B: 1933-07-08
D: 2020-07-27
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Doyle, Harry
Dorine Barnhart
B: 1936-11-09
D: 2020-07-26
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Barnhart, Dorine
Nancy Grissinger
B: 1941-05-27
D: 2020-07-26
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Grissinger, Nancy
Gerald Groce
B: 1946-08-30
D: 2020-07-24
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Groce, Gerald
Anna Dunlap
B: 1941-02-22
D: 2020-07-23
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Dunlap, Anna
Jay Doyle
B: 1941-07-05
D: 2020-07-22
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Doyle, Jay
Harold Breon
B: 1934-10-19
D: 2020-07-22
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Breon, Harold
Raymond Robinson
B: 1941-02-26
D: 2020-07-19
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Robinson, Raymond
Peter McHenry
B: 1943-07-11
D: 2020-07-19
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McHenry, Peter
Wayne Craig
B: 1941-10-14
D: 2020-07-16
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Craig, Wayne
John Reese
B: 1967-09-29
D: 2020-07-15
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Reese, John
Charles Clough
B: 1950-03-09
D: 2020-07-13
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Clough, Charles
Roger Leeper
B: 1957-06-11
D: 2020-07-12
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Leeper, Roger
Ida Showaker
B: 1925-12-25
D: 2020-07-10
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Showaker, Ida
Mildred Powell
B: 1933-10-31
D: 2020-06-30
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Powell, Mildred
Calvin Halter
B: 1925-08-16
D: 2020-06-30
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Halter, Calvin

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Phone: 717-532-2211
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I. Biographical Information

Full Name:
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 You In Death
Your 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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