Obituaries

Brian Heath
B: 1964-02-08
D: 2017-10-15
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Heath, Brian
Joseph Buczynski
B: 1989-03-23
D: 2017-10-14
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Buczynski, Joseph
Dorothy Weidman
B: 1926-07-10
D: 2017-10-13
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Weidman, Dorothy
Kevin Hoover
B: 1995-08-02
D: 2017-10-12
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Hoover, Kevin
Jacob Hershey
B: 1995-04-24
D: 2017-10-08
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Hershey, Jacob
Ella Martin
B: 1927-08-13
D: 2017-09-29
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Martin, Ella
Keith Horst
B: 1973-01-08
D: 2017-09-26
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Horst, Keith
Katie Stoltzfus
B: 1926-01-09
D: 2017-09-22
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Stoltzfus, Katie
Anna Mary Horst
B: 1928-07-31
D: 2017-09-21
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Horst, Anna Mary
Ida Martin Musser
B: 1941-12-09
D: 2017-09-21
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Martin Musser, Ida
Linda Winn
B: 1950-11-05
D: 2017-09-21
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Winn, Linda
Larry Groff
B: 1944-08-31
D: 2017-09-19
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Groff, Larry
Mary Trout
B: 1948-05-10
D: 2017-09-16
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Trout, Mary
Emma Good
B: 1929-10-03
D: 2017-09-14
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Good, Emma
Charlotte Daugherty
B: 1924-02-27
D: 2017-09-14
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Daugherty, Charlotte
Miriam Hartranft
B: 1929-12-14
D: 2017-09-12
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Hartranft, Miriam
Ruth Burkhart
B: 1922-10-07
D: 2017-09-11
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Burkhart, Ruth
Carol Weaver
B: 1955-06-22
D: 2017-09-08
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Weaver, Carol
Edna Sensenig
B: 1933-03-17
D: 2017-09-04
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Sensenig, Edna
Tina Cook
B: 1957-08-03
D: 2017-09-04
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Cook, Tina
Lillian Frankhouser
B: 1928-10-27
D: 2017-08-31
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Frankhouser, Lillian

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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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