Obituaries

Patricia Davis
B: 1930-07-12
D: 2017-08-18
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Davis, Patricia
F. Thomas Shingler
B: 1935-10-25
D: 2017-08-12
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Shingler, F. Thomas
Betty Reeder
B: 1925-07-04
D: 2017-08-10
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Reeder, Betty
Joseph Gilbert
B: 1944-10-27
D: 2017-08-03
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Gilbert, Joseph
Pearl Lerch
B: 1922-03-02
D: 2017-08-02
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Lerch, Pearl
Dawna Shore
B: 1961-01-08
D: 2017-07-30
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Shore, Dawna
Kenneth Fike
B: 1953-09-15
D: 2017-07-29
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Fike, Kenneth
William Kelley
B: 1938-01-24
D: 2017-07-25
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Kelley, William
Doris Wagner
B: 1929-12-06
D: 2017-07-20
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Wagner, Doris
Brent Wendler
B: 1988-09-06
D: 2017-07-17
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Wendler, Brent
Patricia Bumgardner
B: 1960-12-19
D: 2017-07-14
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Bumgardner, Patricia
Deborah A. Louder
B: 1946-02-09
D: 2017-07-13
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Louder, Deborah A.
Melba Mertz
B: 1928-08-21
D: 2017-07-09
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Mertz, Melba
Melvin Horton
B: 1935-01-26
D: 2017-07-07
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Horton, Melvin
Paul Grassmyer
B: 1938-02-10
D: 2017-07-04
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Grassmyer, Paul
Devon Kennedy
D: 2017-07-02
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Kennedy, Devon
Dorothy Colyer
B: 1934-11-15
D: 2017-06-30
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Colyer, Dorothy
Marcia Adams
B: 1949-01-02
D: 2017-06-26
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Adams, Marcia
Martha Marquis
B: 1953-08-18
D: 2017-06-23
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Marquis, Martha
Dr. John Fuoco
B: 1956-02-03
D: 2017-06-17
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Fuoco, Dr. John
Bruce Beers
B: 1963-10-25
D: 2017-06-16
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Beers, Bruce

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Lewistown, PA 17044
Phone: 717-248-5486
Fax: 717-248-2277

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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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