Obituaries

Scott Basom
B: 1955-09-22
D: 2023-12-03
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Basom, Scott
John Hunter
B: 1946-07-04
D: 2023-12-02
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Hunter, John
Reva Diffenderfer
B: 1935-09-30
D: 2023-11-20
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Diffenderfer, Reva
Stuart Ammerman
B: 1937-08-27
D: 2023-11-20
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Ammerman, Stuart
Donna Ritzman
B: 1934-07-14
D: 2023-11-17
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Ritzman, Donna
Reba Guyer
B: 1934-12-03
D: 2023-11-10
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Guyer, Reba
Jackie Hockenberry
B: 1935-09-06
D: 2023-11-09
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Hockenberry, Jackie
James Slautterback
B: 1959-12-08
D: 2023-11-07
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Slautterback, James
Roberta Thorne
D: 2023-11-05
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Thorne, Roberta
Esther Henry
B: 1926-09-22
D: 2023-11-03
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Henry, Esther
Raymond Swab
B: 1935-05-21
D: 2023-11-01
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Swab, Raymond
Caroline Curry
B: 1964-01-20
D: 2023-10-29
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Curry, Caroline
Gerald Eaton
B: 1946-11-18
D: 2023-10-28
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Eaton, Gerald
Robert Sankey
B: 1938-05-05
D: 2023-10-21
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Sankey, Robert
Dorothy Weimer-Swartz
B: 1955-03-21
D: 2023-10-19
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Weimer-Swartz, Dorothy
Beverly Grening
B: 1935-09-17
D: 2023-10-18
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Grening, Beverly
William Baum
B: 1965-11-07
D: 2023-10-18
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Baum, William
Richard Horning
B: 1945-06-11
D: 2023-10-17
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Horning, Richard
Jeffrey McDonald
D: 2023-10-15
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McDonald, Jeffrey
Glendora Lauver
B: 1933-04-04
D: 2023-10-13
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Lauver, Glendora
Rolf Lotz
B: 1933-04-23
D: 2023-10-08
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Lotz, Rolf

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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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