Obituaries

David Koons
B: 1942-12-16
D: 2020-12-03
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Koons, David
Lewis Barmont
B: 1931-08-23
D: 2020-12-03
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Barmont, Lewis
Charlotte Clark
B: 1951-05-17
D: 2020-12-03
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Clark, Charlotte
Wayne Culbertson
B: 1947-05-18
D: 2020-12-03
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Culbertson, Wayne
Dorothy McCoy
B: 1921-11-08
D: 2020-11-28
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McCoy, Dorothy
Dennis Gotshall
B: 1944-01-19
D: 2020-11-28
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Gotshall, Dennis
Rev. Paul Hauk
B: 1926-07-22
D: 2020-11-28
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Hauk, Rev. Paul
Lester Motter
B: 1926-07-05
D: 2020-11-27
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Motter, Lester
Florence Mowery
B: 1930-04-16
D: 2020-11-27
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Mowery, Florence
Darlene Wyrick
B: 1943-07-09
D: 2020-11-25
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Wyrick, Darlene
Dr. John Fague
B: 1925-04-04
D: 2020-11-23
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Fague, Dr. John
Jaye Alleman
B: 1939-11-25
D: 2020-11-22
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Alleman, Jaye
Frederick Alleman
B: 1928-02-29
D: 2020-11-20
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Alleman, Frederick
Rev. Raymond Eberly
B: 1942-06-21
D: 2020-11-20
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Eberly, Rev. Raymond
Barbara Hammond
B: 1937-09-18
D: 2020-11-18
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Hammond, Barbara
Ethel Boden
B: 1937-02-08
D: 2020-11-18
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Boden, Ethel
Frank Stine
B: 1936-10-28
D: 2020-11-18
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Stine, Frank
Peggy Baer
B: 1959-02-02
D: 2020-11-15
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Baer, Peggy
Joyce Zeek
B: 1948-03-25
D: 2020-11-15
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Zeek, Joyce
Scott Thomas
B: 1963-01-03
D: 2020-11-15
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Thomas, Scott
Peter Staggs
B: 1968-10-26
D: 2020-11-15
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Staggs, Peter

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P.O. Box 336
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:
Zip Code:
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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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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