Obituaries

Eberdina Boeree
B: 1930-01-08
D: 2017-12-08
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Boeree, Eberdina
Dean Bowers
B: 1962-01-09
D: 2017-12-08
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Bowers, Dean
John Dull
B: 1948-04-08
D: 2017-12-07
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Dull, John
Jean Greenwood
B: 1933-11-20
D: 2017-12-06
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Greenwood, Jean
Danny Ott
B: 1962-07-23
D: 2017-12-03
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Ott, Danny
Edna Burkholder
B: 1951-10-23
D: 2017-12-02
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Burkholder, Edna
Richard Snell
B: 1959-09-15
D: 2017-12-01
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Snell, Richard
Lillian Shoemaker
B: 1922-12-04
D: 2017-11-27
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Shoemaker, Lillian
Dorothy Pearce
B: 1922-05-16
D: 2017-11-23
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Pearce, Dorothy
M. Lauver
B: 1942-12-16
D: 2017-11-22
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Lauver, M.
Eugene Albright
B: 1936-05-10
D: 2017-11-21
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Albright, Eugene
William Wyrick
B: 1930-04-08
D: 2017-11-17
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Wyrick, William
Stephen Strohm
B: 1970-07-03
D: 2017-11-15
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Strohm, Stephen
Rev. Frank Mathna
B: 1928-12-17
D: 2017-11-14
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Mathna, Rev. Frank
Hazel Martin
B: 2017-11-14
D: 2017-11-14
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Martin, Hazel
Clarence Stouter
B: 1936-08-26
D: 2017-11-13
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Stouter, Clarence
Nelda Clugh-Palmer
B: 1925-03-12
D: 2017-11-10
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Clugh-Palmer, Nelda
Donna Nye
B: 1942-09-17
D: 2017-11-09
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Nye, Donna
Timothy Varner
B: 1967-07-06
D: 2017-11-09
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Varner, Timothy
Charlotte Motter
B: 1920-01-11
D: 2017-11-08
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Motter, Charlotte
Robert Kriner
B: 1938-04-03
D: 2017-11-08
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Kriner, Robert

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P.O. Box 336
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:
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Please select Grade/Years of Education completed:        
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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:
         

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