Obituaries

Elwood Pisle
B: 1926-08-25
D: 2017-10-18
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Pisle, Elwood
Glendon Burkholder
B: 2013-07-05
D: 2017-10-17
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Burkholder, Glendon
John Baum
B: 1961-08-26
D: 2017-10-16
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Baum, John
Joseph Thrush
B: 1954-08-07
D: 2017-10-16
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Thrush, Joseph
Mary Schaffer
B: 1936-09-09
D: 2017-10-15
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Schaffer, Mary
Adam Willis
B: 1977-06-23
D: 2017-10-14
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Willis, Adam
Anna Kinlaw
B: 1940-05-08
D: 2017-10-07
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Kinlaw, Anna
Dolores Carey
B: 1940-01-27
D: 2017-10-07
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Carey, Dolores
Robert Foust
B: 1934-08-20
D: 2017-10-07
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Foust, Robert
Janet Hock
B: 1933-12-06
D: 2017-10-03
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Hock, Janet
Adam Wojtelwicz
B: 1939-01-12
D: 2017-10-03
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Wojtelwicz, Adam
William Wolfe
B: 1974-10-15
D: 2017-10-01
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Wolfe, William
Mary Weaver
B: 1935-09-27
D: 2017-09-29
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Weaver, Mary
Mary Jane Thrush
B: 1926-02-21
D: 2017-09-27
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Thrush, Mary Jane
Mary Speicher
B: 1949-08-07
D: 2017-09-25
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Speicher, Mary
William Oberdorf
B: 1933-12-07
D: 2017-09-23
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Oberdorf, William
Laura Jumper
B: 1923-05-12
D: 2017-09-22
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Jumper, Laura
Harry Reese
B: 1918-03-11
D: 2017-09-21
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Reese, Harry
Julia Bender
B: 1923-03-25
D: 2017-09-20
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Bender, Julia
Ray Ingram
B: 1935-03-26
D: 2017-09-19
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Ingram, Ray
Edgar Vaughn
B: 1929-09-05
D: 2017-09-19
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Vaughn, Edgar

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Phone: 717-532-2211
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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:
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 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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