Obituaries

Sara Reamer
B: 1931-08-23
D: 2017-03-12
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Reamer, Sara
Mary Ann Daywalt
B: 1951-05-04
D: 2017-03-03
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Daywalt, Mary Ann
Joseline Christal Zepeda Calderon
B: 2000-06-24
D: 2017-02-22
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Zepeda Calderon, Joseline Christal
Grace Perry
B: 1922-01-31
D: 2017-02-27
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Perry, Grace
Rachel Cooke
B: 1923-07-12
D: 2017-02-27
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Cooke, Rachel
Garrett Tarlton
B: 1952-07-25
D: 2017-02-16
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Tarlton, Garrett
Maurice Fitz Jr.
B: 1930-09-27
D: 2017-02-21
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Fitz Jr., Maurice
Holly White
B: 1993-06-03
D: 2017-02-15
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White, Holly
Robert McKenzie
B: 1932-01-17
D: 2017-02-10
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McKenzie, Robert
Kimberly Miller
B: 1967-10-04
D: 2017-02-09
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Miller, Kimberly
Margaret Kelley
B: 1920-01-07
D: 2017-02-01
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Kelley, Margaret
Patricia High
B: 1945-08-02
D: 2017-01-20
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High, Patricia
Thelma Romesberg
B: 1927-03-27
D: 2017-01-14
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Romesberg, Thelma
Maxine Shull
B: 1941-03-27
D: 2017-01-10
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Shull, Maxine
Harry Sollenberger
B: 1920-12-25
D: 2017-01-04
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Sollenberger, Harry
William Jackson
B: 1952-06-13
D: 2017-01-02
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Jackson, William
Jennifer Moore
B: 1950-07-24
D: 2017-01-03
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Moore, Jennifer
Dolores McKay
B: 1936-07-30
D: 2016-12-31
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McKay, Dolores
Sinclair Puckett
B: 1993-03-07
D: 2016-12-26
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Puckett, Sinclair
Susan Weagley
B: 1955-02-09
D: 2016-12-21
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Weagley, Susan
Rex Daniel
B: 1917-07-25
D: 2016-12-25
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Daniel, Rex

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297 Philadelphia Avenue
Chambersburg, PA 17201
Phone: (717) 263-3414
Fax: (717) 263-0244

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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:
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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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