Obituaries

Phyllis Trimby
B: 1930-01-23
D: 2018-01-01
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Trimby, Phyllis
Jean Ludwig
B: 1952-12-08
D: 2017-12-29
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Ludwig, Jean
Daniel Stoltzfus
B: 1927-01-28
D: 2017-12-02
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Stoltzfus, Daniel
Douglas Boysel
B: 1963-05-17
D: 2017-11-30
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Boysel, Douglas
Betty Storb Gaston
B: 1929-07-14
D: 2017-11-29
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Storb Gaston, Betty
John Ingham
B: 1931-06-18
D: 2017-11-17
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Ingham, John
Grace Witmer
B: 1926-04-10
D: 2017-11-09
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Witmer, Grace
Rudolph Leitgeb
B: 1936-03-27
D: 2017-11-05
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Leitgeb, Rudolph
William Becker
B: 1955-04-03
D: 2017-10-20
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Becker, William
Mary Bennett
B: 1921-05-12
D: 2017-10-08
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Bennett, Mary
Charlotte Moore
B: 1928-11-10
D: 2017-10-01
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Moore, Charlotte
Stacy Knier
B: 1971-11-18
D: 2017-09-30
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Knier, Stacy
Reynold Ovensen
B: 1929-12-24
D: 2017-08-23
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Ovensen, Reynold
William McGinnis
B: 1946-07-11
D: 2017-08-07
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McGinnis, William
Thomas Frybarger
B: 1957-11-18
D: 2017-08-03
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Frybarger, Thomas
Norman Acuff
B: 1936-06-03
D: 2017-07-31
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Acuff, Norman
William Belig
B: 1935-07-08
D: 2017-06-22
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Belig, William
Donald Lee
B: 1949-05-02
D: 2017-06-22
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Lee, Donald
Frances Jacobs
B: 1935-01-02
D: 2017-06-06
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Jacobs, Frances
Beatrice Siegel
B: 1915-02-28
D: 2017-05-18
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Siegel, Beatrice
Juanita Williams
B: 1944-03-17
D: 2017-05-15
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Williams, Juanita

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Supervisor: Sven E. Miller
New Holland, PA 17557
Phone: (717) 354-2227
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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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