Obituaries

Robert Bard
B: 1932-10-16
D: 2019-11-18
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Bard, Robert
Terry Killinger
B: 1950-09-24
D: 2019-11-18
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Killinger, Terry
John Sheaffer
B: 1927-07-01
D: 2019-11-18
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Sheaffer, John
Ruth Barnett
B: 1927-02-14
D: 2019-11-15
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Barnett, Ruth
Donald Beam
B: 1938-12-29
D: 2019-11-13
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Beam, Donald
Dorothy Coldsmith
B: 1926-09-21
D: 2019-11-07
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Coldsmith, Dorothy
Lois Snouffer
B: 2019-10-21
D: 2019-10-30
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Snouffer, Lois
Cindy Reese
B: 1959-09-22
D: 2019-10-28
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Reese, Cindy
Kathryn Gayman
B: 1921-03-10
D: 2019-10-25
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Gayman, Kathryn
Earl Varner
B: 1946-07-22
D: 2019-10-25
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Varner, Earl
Marie Matteucci
B: 1936-06-19
D: 2019-10-25
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Matteucci, Marie
Katherine Piper
B: 1944-01-15
D: 2019-10-24
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Piper, Katherine
Sandra Shope
B: 1944-01-10
D: 2019-10-24
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Shope, Sandra
Jerry Myers
B: 1952-05-19
D: 2019-10-22
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Myers, Jerry
Frank McClelland
B: 1928-02-25
D: 2019-10-19
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McClelland, Frank
Jack Wyrick
B: 1941-10-11
D: 2019-10-18
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Wyrick, Jack
James Hulse
B: 1943-05-12
D: 2019-10-14
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Hulse, James
Christopher Furry
B: 1972-06-11
D: 2019-10-14
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Furry, Christopher
Edwina Devore
B: 1931-10-19
D: 2019-10-13
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Devore, Edwina
Melvin Leid
B: 1951-02-09
D: 2019-10-13
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Leid, Melvin
Elaine Toms
B: 1935-09-02
D: 2019-10-13
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Toms, Elaine

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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:
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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