Obituaries

Doris Green
B: 1927-09-19
D: 2018-06-21
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Green, Doris
Lee Whistler
B: 1925-01-06
D: 2018-06-20
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Whistler, Lee
Mary Hershey
B: 1921-03-26
D: 2018-06-18
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Hershey, Mary
Edwin Martin
B: 1979-12-02
D: 2018-06-17
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Martin, Edwin
Kay McKenrick
B: 1953-03-22
D: 2018-06-17
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McKenrick, Kay
Maryetta Tosten
B: 1927-03-31
D: 2018-06-12
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Tosten, Maryetta
Dixie Whitsel
B: 1931-03-22
D: 2018-06-10
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Whitsel, Dixie
Grace Dubbs
B: 1934-03-22
D: 2018-06-08
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Dubbs, Grace
Wanda Gearhart-Shank
B: 1959-09-15
D: 2018-06-08
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Gearhart-Shank, Wanda
Jeffrey Coy
B: 1951-10-06
D: 2018-06-04
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Coy, Jeffrey
Brenda Cressler
B: 1963-10-28
D: 2018-06-02
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Cressler, Brenda
Irene Menton
B: 1933-02-03
D: 2018-05-29
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Menton, Irene
John Mentzer
B: 1937-12-08
D: 2018-05-26
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Mentzer, John
John Byers
B: 1927-11-30
D: 2018-05-23
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Byers, John
Harry Kling
B: 1956-08-27
D: 2018-05-23
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Kling, Harry
Sarah Boice
B: 1931-03-29
D: 2018-05-20
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Boice, Sarah
Jacob Kaufman
B: 1929-08-01
D: 2018-05-17
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Kaufman, Jacob
Linda Tanger
B: 1954-06-10
D: 2018-05-17
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Tanger, Linda
Scott Peck
B: 1967-11-20
D: 2018-05-17
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Peck, Scott
Leroy Miller
B: 1926-06-09
D: 2018-05-15
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Miller, Leroy
Conrad Ocker
B: 1952-08-25
D: 2018-05-15
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Ocker, Conrad

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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:
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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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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:
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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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