Obituaries

Joyce Wray
B: 1959-06-25
D: 2019-05-14
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Wray, Joyce
Mary Demo
B: 1929-04-24
D: 2019-05-09
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Demo, Mary
Priscilla Krescanko
B: 1937-01-05
D: 2019-05-08
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Krescanko, Priscilla
Wanda Darerow
B: 1963-04-07
D: 2019-04-25
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Darerow, Wanda
Daniel Smyers
B: 1964-01-07
D: 2019-04-24
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Smyers, Daniel
Deborah Hirakis
B: 1955-02-14
D: 2019-04-22
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Hirakis, Deborah
Emerson Kochenderfer
B: 1946-01-30
D: 2019-04-16
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Kochenderfer, Emerson
Charles Cramer
B: 1931-01-27
D: 2019-04-13
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Cramer, Charles
A. DuMond
B: 1927-01-13
D: 2019-04-13
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DuMond, A.
Ruth Yeager
B: 1942-12-04
D: 2019-04-08
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Yeager, Ruth
Nancy Sherman
B: 1932-09-08
D: 2019-04-05
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Sherman, Nancy
Patrick Vancho
B: 1943-03-20
D: 2019-04-03
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Vancho, Patrick
Melvin Long
B: 1943-11-22
D: 2019-04-01
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Long, Melvin
Gary Sausser
B: 1943-08-19
D: 2019-03-31
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Sausser, Gary
Blair Echard
B: 1939-08-23
D: 2019-03-06
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Echard, Blair
Barbara McElhenny
B: 1941-06-29
D: 2019-03-01
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McElhenny, Barbara
Janice Clark
B: 1948-12-15
D: 2019-02-25
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Clark, Janice
Margaret Searer
B: 1930-02-13
D: 2019-02-23
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Searer, Margaret
Vicki Osborne
B: 1960-08-28
D: 2019-02-22
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Osborne, Vicki
Margaret Bell
B: 1930-11-11
D: 2019-02-18
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Bell, Margaret
Mona Bossinger
B: 1934-09-27
D: 2019-02-17
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Bossinger, Mona

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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:

Miscellaneous Notes and Instructions:

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