Obituaries

Roger Leeper
B: 1957-06-11
D: 2020-07-12
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Leeper, Roger
Ida Showaker
B: 1925-12-25
D: 2020-07-10
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Showaker, Ida
Mildred Powell
B: 1933-10-31
D: 2020-06-30
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Powell, Mildred
Calvin Halter
B: 1925-08-16
D: 2020-06-30
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Halter, Calvin
Edwin Sprecher
B: 1944-09-28
D: 2020-06-28
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Sprecher, Edwin
John Weyman
B: 1945-04-28
D: 2020-06-25
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Weyman, John
Kathy Wright
B: 1974-03-15
D: 2020-06-22
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Wright, Kathy
Galen Hockenberry
B: 1947-09-21
D: 2020-06-19
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Hockenberry, Galen
Pamela Hawbaker
B: 1946-07-21
D: 2020-06-18
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Hawbaker, Pamela
Katrina Lantz
B: 2019-08-07
D: 2020-06-17
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Lantz, Katrina
Doris Stouffer
B: 1935-05-07
D: 2020-06-16
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Stouffer, Doris
Erma Ferrell
B: 1930-09-08
D: 2020-06-12
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Ferrell, Erma
Jay Wadel
B: 1947-11-25
D: 2020-06-12
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Wadel, Jay
Lugarda Deck
B: 1931-04-11
D: 2020-06-12
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Deck, Lugarda
Jonathan Stoltzfus
B: 1930-05-16
D: 2020-06-08
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Stoltzfus, Jonathan
Mary Neil
B: 1949-11-06
D: 2020-06-07
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Neil, Mary
Betty Kohler
B: 1927-01-22
D: 2020-06-05
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Kohler, Betty
Albert Hilbinger
B: 1953-03-02
D: 2020-06-01
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Hilbinger, Albert
Sue Nicholson
B: 1973-04-12
D: 2020-05-30
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Nicholson, Sue
Larry Carlin
B: 1946-11-26
D: 2020-05-29
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Carlin, Larry
Angelo Costanzo
B: 1934-03-23
D: 2020-05-27
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Costanzo, Angelo

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112 West King Street
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:
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 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:
         

Miscellaneous Notes and Instructions:

             

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