Obituaries

Gary Haas
B: 1951-03-30
D: 2017-04-27
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Haas, Gary
Odella Dippner
B: 1932-02-12
D: 2017-04-25
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Dippner, Odella
Edna Zimmerman
B: 1914-06-13
D: 2017-04-25
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Zimmerman, Edna
Thelma Messner
B: 1939-01-12
D: 2017-04-22
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Messner, Thelma
Arvella Rutter
B: 1927-05-23
D: 2017-04-21
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Rutter, Arvella
Dominic Esposito
B: 1932-07-08
D: 2017-04-18
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Esposito, Dominic
Glendine White
B: 1922-09-22
D: 2017-04-18
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White, Glendine
Margaret Verbeke
B: 1928-07-17
D: 2017-04-17
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Verbeke, Margaret
Paul McWilliams
B: 1983-02-02
D: 2017-04-17
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McWilliams, Paul
Harold Groff
B: 1939-10-15
D: 2017-04-13
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Groff, Harold
Melvin Zimmerman
B: 1956-06-19
D: 2017-04-13
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Zimmerman, Melvin
Charlotte Beavers
B: 1938-04-02
D: 2017-04-11
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Beavers, Charlotte
Timothy Demeritt
B: 1994-07-19
D: 2017-04-09
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Demeritt, Timothy
Carlos Santos
B: 1982-08-11
D: 2017-04-03
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Santos, Carlos
James Steffy
B: 1928-05-23
D: 2017-03-30
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Steffy, James
Alma Ressler
B: 1922-08-17
D: 2017-03-23
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Ressler, Alma
Mary Martin
B: 1929-06-20
D: 2017-03-23
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Martin, Mary
Edith Houck
B: 1924-10-02
D: 2017-03-22
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Houck, Edith
Michelle McLemore
B: 1968-08-13
D: 2017-03-20
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McLemore, Michelle
Arlene Landau
B: 1925-09-13
D: 2017-03-18
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Landau, Arlene
Phares Rutt
B: 1924-09-01
D: 2017-03-17
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Rutt, Phares

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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:

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