Obituaries

Gloria Kees
B: 1946-09-02
D: 2018-10-15
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Kees, Gloria
Donna Crim
B: 1944-02-01
D: 2018-10-14
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Crim, Donna
Dennis Johnson
B: 1943-09-29
D: 2018-10-13
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Johnson, Dennis
Edward James
B: 1937-12-20
D: 2018-10-12
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James, Edward
James Boyles
B: 1951-06-21
D: 2018-10-12
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Boyles, James
Rylee Spears
B: 2007-11-27
D: 2018-10-12
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Spears, Rylee
Sarah Parsons
B: 1933-12-11
D: 2018-10-10
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Parsons, Sarah
Linda McQuaid
B: 1948-08-18
D: 2018-10-10
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McQuaid, Linda
Charles Dunigan
B: 1957-06-16
D: 2018-10-09
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Dunigan, Charles
Tina Poland
B: 1957-03-02
D: 2018-10-08
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Poland, Tina
Naomi Oates
B: 1943-04-28
D: 2018-10-08
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Oates, Naomi
Angel Gonzalez
B: 1981-04-09
D: 2018-10-08
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Gonzalez, Angel
Michael Weller
B: 1986-06-24
D: 2018-10-08
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Weller, Michael
Joyce Lamp
B: 1942-09-02
D: 2018-10-04
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Lamp, Joyce
Winona Lewis
B: 1925-10-29
D: 2018-10-03
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Lewis, Winona
Dale Payne
B: 1928-07-14
D: 2018-10-03
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Payne, Dale
Jack Clark
B: 1931-09-10
D: 2018-10-03
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Clark, Jack
Ricky Lockett
B: 1957-05-18
D: 2018-10-03
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Lockett, Ricky
Pauline Mongold
B: 1936-11-02
D: 2018-10-02
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Mongold, Pauline
Edward Files
B: 1929-12-03
D: 2018-10-01
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Files, Edward
William Trexler, Sr.
B: 1934-06-04
D: 2018-10-01
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Trexler, Sr., William

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Martinsburg, WV 25401
Phone: (304) 263-8896
Fax: (304) 263-9248

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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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