Obituaries

Carl Wagner
B: 1943-12-05
D: 2018-02-21
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Wagner, Carl
Jerry Kelly
B: 1933-08-25
D: 2018-02-20
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Kelly, Jerry
Shelby Puller
B: 1943-10-31
D: 2018-02-16
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Puller, Shelby
Raymond Strigle
B: 1939-02-24
D: 2018-02-16
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Strigle, Raymond
Timothy Angell
B: 1977-06-26
D: 2018-02-15
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Angell, Timothy
Debra King
B: 1963-09-23
D: 2018-02-14
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King, Debra
Joseph Bublavek
B: 1944-12-05
D: 2018-02-11
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Bublavek, Joseph
Claudette Pownall
B: 1944-11-25
D: 2018-02-09
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Pownall, Claudette
Anna Tusing
B: 1938-11-26
D: 2018-02-07
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Tusing, Anna
James Erb
B: 1921-09-17
D: 2018-02-07
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Erb, James
Aime Bowersox
B: 1920-07-05
D: 2018-02-05
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Bowersox, Aime
Taylor Greer
B: 1921-04-11
D: 2018-02-05
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Greer, Taylor
Cindy Dickson
B: 1966-11-28
D: 2018-02-04
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Dickson, Cindy
Barbara Picchio
B: 1946-04-11
D: 2018-02-03
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Picchio, Barbara
Paul Mallonee
B: 1943-10-26
D: 2018-02-02
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Mallonee, Paul
Roy Johnson
B: 1940-06-11
D: 2018-02-01
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Johnson, Roy
Robert Collison
B: 1933-09-19
D: 2018-01-31
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Collison, Robert
Portia Spamer
B: 1923-09-01
D: 2018-01-31
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Spamer, Portia
John Chisnell
B: 1937-05-24
D: 2018-01-30
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Chisnell, John
Ronald Fouse
B: 1939-12-19
D: 2018-01-28
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Fouse, Ronald
Keith Howard
B: 1976-01-21
D: 2018-01-28
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Howard, Keith

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Reisterstown, MD 21136
Phone: 410-833-1414
Fax: 410-833-1328

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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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