Obituaries

Michael Drozda
B: 1924-05-21
D: 2018-04-18
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Drozda, Michael
Peggy Botteicher
B: 1931-05-24
D: 2018-04-16
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Botteicher, Peggy
Vivian Getz
B: 1930-01-19
D: 2018-04-16
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Getz, Vivian
Richard Parker
B: 1951-01-04
D: 2018-04-06
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Parker, Richard
Tammy Norris
B: 1967-03-12
D: 2018-04-06
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Norris, Tammy
Marjorie Berrier
B: 1920-11-21
D: 2018-04-04
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Berrier, Marjorie
Helen Mark
B: 1933-06-14
D: 2018-04-02
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Mark, Helen
Trevor Ferguson
B: 1998-10-15
D: 2018-03-24
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Ferguson, Trevor
Jane Yeater
B: 1926-04-18
D: 2018-03-18
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Yeater, Jane
Peggy Stine
B: 1938-10-12
D: 2018-03-18
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Stine, Peggy
James Vance
B: 1936-01-11
D: 2018-03-17
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Vance, James
Mary Reigle
B: 1945-12-05
D: 2018-03-17
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Reigle, Mary
Charles Norton
B: 1935-12-20
D: 2018-03-07
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Norton, Charles
Thomas Bell
B: 1959-10-08
D: 2018-03-04
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Bell, Thomas
Jeffrey Forshey
B: 1959-02-06
D: 2018-03-01
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Forshey, Jeffrey
Charles Heiston
B: 1937-07-10
D: 2018-02-15
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Heiston, Charles
Merle Burge
B: 1955-03-25
D: 2018-02-15
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Burge, Merle
Richard Musser
B: 1925-12-08
D: 2018-02-07
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Musser, Richard
Merle Walk
B: 1943-03-25
D: 2018-01-31
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Walk, Merle
Amanda Mank
B: 1981-06-09
D: 2018-01-30
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Mank, Amanda
Jayne Kelly
B: 1924-10-17
D: 2018-01-25
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Kelly, Jayne

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Lewistown, PA 17044
Phone: 717-248-5486
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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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