James Data
B: 1934-03-17
D: 2018-03-01
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Data, James
Rebecca Beane
B: 1966-01-31
D: 2018-02-24
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Beane, Rebecca
Darryl Himler
B: 1960-01-11
D: 2018-02-24
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Himler, Darryl
Patricia Dye
B: 1927-03-17
D: 2018-02-16
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Dye, Patricia
Anne Dunn
B: 1924-04-30
D: 2018-02-14
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Dunn, Anne
Evelyn Chatman
B: 1925-12-14
D: 2018-02-13
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Chatman, Evelyn
Marjorie Lambert
B: 1949-02-28
D: 2018-02-13
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Lambert, Marjorie
Joseph Frankovich
B: 1966-09-14
D: 2018-01-31
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Frankovich, Joseph
Randall Hamrick
B: 1961-11-05
D: 2018-01-29
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Hamrick, Randall
Jerry Frazier
B: 1938-05-05
D: 2018-01-29
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Frazier, Jerry
Keith Troutman
B: 1951-02-05
D: 2018-01-15
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Troutman, Keith
Maggie Crawford
B: 1913-03-26
D: 2018-01-10
View Details
Crawford, Maggie
Jeanette Hengle
B: 1926-09-12
D: 2018-01-10
View Details
Hengle, Jeanette
Robert Simmons
B: 1937-01-11
D: 2018-01-03
View Details
Simmons, Robert
George Ball
B: 1939-10-24
D: 2018-01-01
View Details
Ball, George
Kathleen Moore
B: 1956-05-25
D: 2017-12-28
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Moore, Kathleen
Louis DeCastro
B: 1922-02-18
D: 2017-12-27
View Details
DeCastro, Louis
Mary Mifsud
B: 1931-12-18
D: 2017-12-24
View Details
Mifsud, Mary
William Wigal
B: 1925-07-22
D: 2017-12-17
View Details
Wigal, William
Anthony Urdiales
B: 1921-02-03
D: 2017-12-16
View Details
Urdiales, Anthony
James Scheatzle
B: 1915-10-29
D: 2017-12-13
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Scheatzle, James


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One of the most caring, loving things you can do for your family is to leave detailed information which permits them to make the funeral service a personal tribute in keeping with the way you wanted.

Making funeral arrangements at the time of loss is extremely difficult for those left behind. When the funeral, and sometimes even payment, have been arranged in advance, most of the decisions have been made, sparing uncertainty and confusion at a time when emotional stress may make decisions difficult.

Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family?

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I. Biographical Information
Full Name:
City Name:
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
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:
Person in Charge of Arrangements:
Officiating Clergy:
Flower Preference:
Music Selection:
Casket Preference:
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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