Obituaries

Robert Glascock
B: 1946-03-30
D: 2017-11-18
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Glascock, Robert
Jean Keith
B: 1931-03-07
D: 2017-11-17
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Keith, Jean
Frederick Markley
B: 1960-07-01
D: 2017-11-16
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Markley, Frederick
Mabel Bass
B: 1932-12-15
D: 2017-11-16
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Bass, Mabel
Jennifer Sanders
B: 1979-08-27
D: 2017-11-16
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Sanders, Jennifer
David Rosario
B: 1997-02-07
D: 2017-11-16
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Rosario , David
Bernard Rabideau
B: 1948-05-10
D: 2017-11-15
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Rabideau, Bernard
R. Cloud
B: 1925-11-28
D: 2017-11-15
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Cloud, R.
Steven Miller
B: 1987-02-09
D: 2017-11-15
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Miller, Steven
Shilar Fells
B: 2013-11-30
D: 2017-11-13
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Fells , Shilar
Sandra McLain
B: 1948-10-18
D: 2017-11-12
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McLain, Sandra
Brenda Greenfield
B: 1953-12-27
D: 2017-11-11
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Greenfield, Brenda
Frances Dick-Bennett
B: 1923-03-24
D: 2017-11-11
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Dick-Bennett, Frances
William Shorts
B: 1926-11-06
D: 2017-11-11
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Shorts, William
Daphne Poblete
B: 1947-12-02
D: 2017-11-10
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Poblete, Daphne
Stephen Cramer
B: 1954-02-06
D: 2017-11-10
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Cramer, Stephen
Franklin Parrish
B: 1943-05-02
D: 2017-11-09
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Parrish, Franklin
Trudy Coleman
B: 1963-07-01
D: 2017-11-08
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Coleman, Trudy
Charles Roush
B: 1962-05-04
D: 2017-11-08
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Roush, Charles
Connie Anderson
B: 1964-03-06
D: 2017-11-07
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Anderson, Connie
Shirley Barron
B: 1944-05-03
D: 2017-11-06
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Barron, Shirley

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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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