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Obituaries

Shirley Coldiron
B: 1936-08-02
D: 2019-02-18
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Coldiron, Shirley
Patricia Percival
B: 1928-08-26
D: 2019-02-17
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Percival, Patricia
James Mullins
B: 1938-01-24
D: 2019-02-16
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Mullins, James
Pamela Arbogast
B: 1948-03-01
D: 2019-02-16
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Arbogast, Pamela
Frank Pemble
B: 1925-06-05
D: 2019-02-14
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Pemble, Frank
Joan Mirovsky
B: 1931-07-22
D: 2019-02-14
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Mirovsky, Joan
Martin Shaffer
B: 1924-03-22
D: 2019-02-14
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Shaffer, Martin
Darline Welsh
B: 1925-08-10
D: 2019-02-14
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Welsh, Darline
Penelope Jenkins
B: 1941-04-21
D: 2019-02-12
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Jenkins, Penelope
Oscar Parker
B: 1939-10-15
D: 2019-02-11
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Parker, Oscar
Keith Hubbard
B: 1956-04-17
D: 2019-02-11
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Hubbard, Keith
Timothy Willoughby
B: 1983-07-15
D: 2019-02-11
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Willoughby, Timothy
James Edgar Carnett, Jr.
B: 1940-08-01
D: 2019-02-10
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Carnett, Jr., James Edgar
Mary Skaggs
B: 1932-01-11
D: 2019-02-10
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Skaggs, Mary
Joseph Dangler
B: 1940-10-27
D: 2019-02-10
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Dangler, Joseph
Cornelius Moorehead
B: 1954-01-27
D: 2019-02-09
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Moorehead, Cornelius
Phyllis Story
B: 1923-12-25
D: 2019-02-08
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Story, Phyllis
Richard Anthony Naso
B: 1939-08-18
D: 2019-02-08
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Naso, Richard Anthony
Laura Schneiderman
B: 1980-07-11
D: 2019-02-08
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Schneiderman, Laura
Danny Bonner
B: 1947-07-25
D: 2019-02-07
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Bonner, Danny
James Gapski
B: 1935-08-10
D: 2019-02-07
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Gapski, James

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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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