Obituaries

Wanda Fossler
B: 1926-12-01
D: 2017-05-23
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Fossler, Wanda
Raymond Belt
B: 1931-04-09
D: 2017-05-21
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Belt, Raymond
Emma Benson
B: 1923-02-03
D: 2017-05-20
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Benson, Emma
William Kaufman
B: 1927-10-08
D: 2017-05-17
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Kaufman, William
Mazie Rohrbaugh
B: 1921-04-22
D: 2017-05-15
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Rohrbaugh, Mazie
Eugene Martin
B: 1979-01-01
D: 2017-05-12
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Martin, Eugene
Michael Muse
B: 1993-02-05
D: 2017-05-10
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Muse, Michael
Nicole Walker
B: 1980-09-28
D: 2017-05-08
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Walker, Nicole
Linda Blonder
B: 1947-01-21
D: 2017-05-08
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Blonder, Linda
Gail VanderLaan
B: 1941-01-14
D: 2017-05-06
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VanderLaan, Gail
Brian Gibbons
B: 1948-06-18
D: 2017-05-04
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Gibbons, Brian
Francis Coppersmith
B: 1923-12-03
D: 2017-05-03
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Coppersmith, Francis
Donald Favorite
B: 1940-10-28
D: 2017-05-01
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Favorite, Donald
John Shifflett
B: 1957-09-20
D: 2017-04-30
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Shifflett, John
Gardner Jackson
B: 1946-05-31
D: 2017-04-27
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Jackson, Gardner
Joseph Bonsick
B: 1996-09-13
D: 2017-04-26
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Bonsick, Joseph
Phillip Cougle
B: 1944-08-22
D: 2017-04-26
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Cougle, Phillip
David Hunter
B: 1976-04-21
D: 2017-04-25
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Hunter, David
Alice Poole
B: 1923-09-27
D: 2017-04-24
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Poole, Alice
Carole Kemp
B: 1943-03-26
D: 2017-04-23
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Kemp, Carole
George Nikstaitis
B: 1944-06-27
D: 2017-04-20
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Nikstaitis, George

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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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