Obituaries

Anna Mae Sensenig
B: 1928-10-26
D: 2017-06-27
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Sensenig, Anna Mae
Karolyn Martin
B: 1986-08-03
D: 2017-06-23
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Martin, Karolyn
Lydia Brubaker
B: 1961-09-27
D: 2017-06-22
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Brubaker, Lydia
Mae Weaver
B: 1925-08-17
D: 2017-06-22
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Weaver, Mae
Barbara Heuyard
B: 1945-12-06
D: 2017-06-19
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Heuyard, Barbara
Jane Anderson
B: 1948-03-31
D: 2017-06-19
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Anderson, Jane
Jonas Martin
B: 1925-09-04
D: 2017-06-17
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Martin, Jonas
Grace Watts
B: 1929-12-17
D: 2017-06-16
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Watts, Grace
J. Lester Brubaker
B: 1924-06-14
D: 2017-06-15
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Brubaker, J. Lester
Edith Bailey
B: 1927-04-29
D: 2017-06-14
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Bailey, Edith
Martha Bartel
B: 1926-12-03
D: 2017-06-11
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Bartel, Martha
Mary Lou Good
B: 1944-08-05
D: 2017-06-11
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Good, Mary Lou
Geraldine McCarty
B: 1929-01-28
D: 2017-06-09
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McCarty, Geraldine
Timothy Blasko
B: 1932-04-12
D: 2017-06-09
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Blasko, Timothy
Shirley Wise
B: 1937-09-06
D: 2017-06-08
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Wise, Shirley
Clayton Musser
B: 1916-04-11
D: 2017-06-05
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Musser, Clayton
Edward Kempfle
B: 1939-11-03
D: 2017-06-05
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Kempfle, Edward
Constance Witman
B: 1938-12-16
D: 2017-06-05
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Witman, Constance
Allen Fisher
B: 1917-10-15
D: 2017-06-05
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Fisher, Allen
Marilyn Geraghty
B: 1940-05-10
D: 2017-06-04
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Geraghty, Marilyn
Fritz von Bergen
B: 1924-05-02
D: 2017-05-30
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von Bergen, Fritz

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145 West Main St.
Supervisor: R. Fred Groff III
New Holland, PA 17557
Phone: 717-354-0444
Fax:

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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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