Obituaries

Carma Runshaw
B: 1929-01-02
D: 2020-09-17
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Runshaw, Carma
Marie Rosenberry
B: 1934-01-15
D: 2020-09-17
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Rosenberry, Marie
Kathryn Fogal
B: 1955-02-02
D: 2020-09-16
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Fogal, Kathryn
Elmer Greey
B: 1928-04-13
D: 2020-09-15
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Greey, Elmer
Robert Marcinowski
B: 1938-03-18
D: 2020-09-14
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Marcinowski, Robert
Clarence Toigo
B: 1933-02-01
D: 2020-09-14
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Toigo, Clarence
Mildred Shannon
B: 1937-08-23
D: 2020-09-13
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Shannon, Mildred
Doris Foust
B: 1935-06-06
D: 2020-09-11
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Foust, Doris
Shirlene Burkholder
B: 1969-06-11
D: 2020-09-11
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Burkholder, Shirlene
Gerald Rosenberry
B: 1934-09-25
D: 2020-09-11
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Rosenberry, Gerald
Mary Mellinger
B: 1936-01-06
D: 2020-09-11
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Mellinger, Mary
Louise Weist
B: 1932-07-10
D: 2020-09-08
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Weist, Louise
Elmer Flory
B: 1959-09-29
D: 2020-09-05
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Flory, Elmer
David Martin
B: 1936-07-08
D: 2020-09-02
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Martin, David
Eleanor Baer
B: 1936-03-23
D: 2020-09-01
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Baer, Eleanor
Ernest L. Lynch
B: 1930-05-17
D: 2020-08-30
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Lynch, Ernest L.
Linda Stolte
B: 1949-06-04
D: 2020-08-27
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Stolte, Linda
Randy Comerer
B: 1957-07-03
D: 2020-08-26
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Comerer, Randy
H. Dan Burns
B: 1945-06-27
D: 2020-08-26
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Burns, H. Dan
Dorothy Miley
B: 1955-04-12
D: 2020-08-26
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Miley, Dorothy
Kerry Musser
B: 1969-09-30
D: 2020-08-26
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Musser, Kerry

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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:
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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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