Obituaries

Barry Noll
B: 1939-03-19
D: 2018-01-18
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Noll, Barry
Ray Daub
B: 1942-01-02
D: 2018-01-17
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Daub, Ray
Pauline Shirk
B: 1928-12-11
D: 2018-01-16
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Shirk, Pauline
Edward Asquith
B: 1963-04-23
D: 2018-01-16
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Asquith, Edward
Clarence McCoog
B: 1938-08-08
D: 2018-01-15
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McCoog, Clarence
David Horst
B: 1925-12-31
D: 2018-01-11
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Horst, David
Daniel Martin
B: 1932-11-09
D: 2018-01-10
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Martin, Daniel
Reuben Weaver
B: 1922-10-19
D: 2018-01-10
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Weaver, Reuben
Carl High
B: 1944-06-28
D: 2018-01-09
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High, Carl
Margaret Mast
B: 1921-04-11
D: 2018-01-09
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Mast, Margaret
Laban Martin
B: 1932-11-15
D: 2018-01-07
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Martin, Laban
Robert Simon
B: 1919-04-21
D: 2018-01-07
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Simon, Robert
Nathan Miller
B: 1978-07-26
D: 2018-01-06
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Miller, Nathan
Gary Schwetz
B: 1956-03-26
D: 2018-01-05
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Schwetz, Gary
Rhoda Zimmerman
B: 1965-03-05
D: 2018-01-04
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Zimmerman, Rhoda
Margaret Weir
B: 1922-12-15
D: 2018-01-04
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Weir, Margaret
Esther Martin
B: 1937-07-25
D: 2018-01-01
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Martin, Esther
Alta Brubaker
B: 1926-11-26
D: 2017-12-31
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Brubaker, Alta
Janine Toth
B: 1970-10-12
D: 2017-12-30
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Toth, Janine
Edith Weinhold
B: 1922-01-12
D: 2017-12-27
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Weinhold, Edith
Dorothy Harner
B: 1921-10-17
D: 2017-12-27
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Harner, Dorothy

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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:

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