Obituaries

Esther Rhine
B: 1928-04-13
D: 2021-01-23
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Rhine, Esther
Carrie Shirk
B: 1932-07-07
D: 2021-01-22
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Shirk, Carrie
Patricia Reid
B: 1940-07-10
D: 2021-01-22
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Reid, Patricia
Kathryn Stuck
B: 1934-09-19
D: 2021-01-19
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Stuck, Kathryn
M. Kathleen Ronk
B: 1930-10-20
D: 2021-01-18
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Ronk, M. Kathleen
Herbert Nace
B: 1928-11-08
D: 2021-01-16
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Nace, Herbert
Robert Stong
B: 1959-11-30
D: 2021-01-15
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Stong, Robert
Clayton Goodling
B: 1946-12-07
D: 2021-01-14
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Goodling, Clayton
Donald Burdge
B: 1931-07-25
D: 2021-01-14
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Burdge, Donald
Sherry Lesher
B: 1950-03-18
D: 2021-01-14
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Lesher, Sherry
Deborah Portzline
B: 1949-09-23
D: 2021-01-12
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Portzline, Deborah
Robert Haubert
B: 1948-01-27
D: 2021-01-06
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Haubert, Robert
Daisy Clark
B: 1923-09-09
D: 2021-01-05
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Clark, Daisy
Helen Troup
B: 1934-10-20
D: 2021-01-02
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Troup, Helen
Wayne Schlegel
B: 1931-09-06
D: 2021-01-02
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Schlegel, Wayne
Ralph Graham
B: 1930-01-04
D: 2020-12-31
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Graham, Ralph
Margaret Moad
B: 1936-08-01
D: 2020-12-30
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Moad, Margaret
Walter Corbin
B: 1947-09-01
D: 2020-12-30
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Corbin, Walter
Blanche Schlegel
B: 1933-06-23
D: 2020-12-30
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Schlegel, Blanche
Donald Henry
B: 1932-10-19
D: 2020-12-27
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Henry, Donald
Lloyd Zeiders
B: 1944-02-02
D: 2020-12-27
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Zeiders, Lloyd

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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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