Obituaries

Marlene Baker-Owens
B: 1940-02-10
D: 2019-06-17
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Baker-Owens, Marlene
Irene Keller
B: 1928-03-22
D: 2019-06-11
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Keller, Irene
Kenneth Mixell
B: 1958-12-10
D: 2019-06-09
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Mixell, Kenneth
Jean Barnhart
B: 1940-09-28
D: 2019-06-08
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Barnhart, Jean
Harold McCullough
B: 1948-02-18
D: 2019-06-07
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McCullough, Harold
Lavina Coleman
B: 1926-11-05
D: 2019-06-06
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Coleman, Lavina
Charles Cummings
B: 1946-11-04
D: 2019-06-05
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Cummings, Charles
Lynne Boyd
B: 1958-04-27
D: 2019-06-04
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Boyd, Lynne
Lance Heberlig
B: 1961-06-20
D: 2019-05-30
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Heberlig, Lance
Vivian Swanger
B: 1934-02-28
D: 2019-05-30
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Swanger, Vivian
Jo Ann Bolton
B: 1935-11-11
D: 2019-05-29
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Bolton, Jo Ann
Cletus Whitaker
B: 1928-09-11
D: 2019-05-26
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Whitaker, Cletus
Marian Sanford
B: 1919-09-08
D: 2019-05-24
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Sanford, Marian
Richard Calvert
B: 1945-06-08
D: 2019-05-24
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Calvert, Richard
Esther Hippensteele
B: 1925-05-24
D: 2019-05-21
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Hippensteele, Esther
Lista Ocker
B: 1933-05-29
D: 2019-05-20
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Ocker, Lista
Marcella Williamson
B: 1932-06-24
D: 2019-05-20
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Williamson, Marcella
Curvin Gochenour
B: 1931-12-13
D: 2019-05-20
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Gochenour, Curvin
Cindy Park
B: 1957-11-04
D: 2019-05-18
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Park, Cindy
Terry Baker
B: 1954-06-06
D: 2019-05-17
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Baker, Terry
Robert Linn
B: 1958-03-02
D: 2019-05-16
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Linn, Robert

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Shippensburg, PA 17257
Phone: 717-532-2211
Fax: 717-532-8471

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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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