Obituaries

Norman Hahn
B: 1936-08-03
D: 2017-08-18
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Hahn, Norman
Irene Kilmer
B: 1941-07-24
D: 2017-08-18
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Kilmer, Irene
Mary Parmer
B: 1928-02-24
D: 2017-08-17
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Parmer, Mary
Rhoda Nolt
B: 1947-07-14
D: 2017-08-14
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Nolt, Rhoda
Mildred Martin
B: 1931-02-01
D: 2017-08-11
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Martin, Mildred
Minnie Reiff
B: 1948-10-19
D: 2017-08-09
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Reiff, Minnie
Rose Harris
B: 1932-05-01
D: 2017-08-09
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Harris, Rose
Susan Clay
B: 1949-03-16
D: 2017-08-09
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Clay, Susan
W. Larry Kauffman
B: 1948-09-18
D: 2017-08-05
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Kauffman, W. Larry
Carl Good
B: 1928-02-09
D: 2017-08-03
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Good, Carl
George Geisel
B: 1941-03-15
D: 2017-08-03
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Geisel, George
Luis Camara
B: 1947-04-17
D: 2017-08-03
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Camara, Luis
Phyline Northeimer
B: 1935-08-19
D: 2017-08-03
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Northeimer, Phyline
Joseph Zimmerman
B: 1925-07-17
D: 2017-08-01
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Zimmerman, Joseph
Miles Martin
B: 1942-05-05
D: 2017-07-31
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Martin, Miles
Svea Hoover
B: 1936-08-26
D: 2017-07-31
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Hoover, Svea
Doris Elaine Yoder
B: 1945-07-14
D: 2017-07-30
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Yoder, Doris Elaine
Jonathan Stoltzfus
B: 1935-10-26
D: 2017-07-27
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Stoltzfus, Jonathan
Gladys Denlinger
B: 1920-02-19
D: 2017-07-21
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Denlinger, Gladys
Pauline Weller
B: 1925-07-21
D: 2017-07-19
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Weller, Pauline
Suzann Finger
B: 1942-06-21
D: 2017-07-19
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Finger, Suzann

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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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