Obituaries

Fern Shirk
B: 1929-06-18
D: 2018-09-22
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Shirk, Fern
Joseph Meyers
B: 1932-06-27
D: 2018-09-17
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Meyers, Joseph
Kenneth Hertzler
B: 1941-02-06
D: 2018-09-16
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Hertzler, Kenneth
John MacPherson
B: 1919-10-26
D: 2018-09-12
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MacPherson, John
N. Jackson Brosius
B: 1934-12-21
D: 2018-09-11
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Brosius, N. Jackson
Florence Stauffer
B: 1961-12-24
D: 2018-08-31
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Stauffer, Florence
Harold Martin
B: 1945-05-23
D: 2018-08-30
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Martin, Harold
Eva Jane Burkholder
B: 1950-06-27
D: 2018-08-29
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Burkholder, Eva Jane
Donna Snader
B: 1964-11-04
D: 2018-08-28
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Snader, Donna
George Weber
B: 1928-05-23
D: 2018-08-26
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Weber, George
Lillian Weinhold
B: 1932-06-14
D: 2018-08-25
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Weinhold, Lillian
Richard Pennypacker
B: 1944-02-26
D: 2018-08-20
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Pennypacker, Richard
Lloyd Weaver
D: 2018-08-20
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Weaver, Lloyd
Arlene Sweigart
B: 1922-08-21
D: 2018-08-18
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Sweigart, Arlene
Galen Musser
B: 1954-10-27
D: 2018-08-16
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Musser, Galen
Walter Kurtz
B: 1947-02-03
D: 2018-08-16
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Kurtz, Walter
Barbara Lefever
B: 1924-10-11
D: 2018-08-15
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Lefever, Barbara
Mary Loose
B: 1949-07-05
D: 2018-08-14
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Loose, Mary
Nancy Portaro
B: 1962-11-06
D: 2018-08-11
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Portaro, Nancy
Dawn Boley
B: 1969-04-02
D: 2018-08-11
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Boley, Dawn
Abram Brubaker
B: 1930-11-30
D: 2018-08-10
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Brubaker, Abram

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145 West Main St.
Supervisor: R. Fred Groff III
New Holland, PA 17557
Phone: 717-354-0444
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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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Please place my information on file


 

 

 

 

 

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