Obituaries

Naomi Botic
B: 1934-10-26
D: 2018-08-19
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Botic, Naomi
Helen Spates
B: 1936-07-29
D: 2018-08-16
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Spates, Helen
Alan Clark
B: 1968-11-14
D: 2018-08-16
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Clark, Alan
John Riner
B: 1938-01-09
D: 2018-08-16
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Riner, John
Brian Tierney
B: 1944-03-25
D: 2018-08-16
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Tierney, Brian
Larry Windsor
B: 1973-08-10
D: 2018-08-15
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Windsor, Larry
Jeffrey Newill
B: 1991-04-03
D: 2018-08-15
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Newill, Jeffrey
E. Slonaker
B: 1932-01-26
D: 2018-08-14
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Slonaker, E.
Christina Armel
B: 1935-05-27
D: 2018-08-14
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Armel, Christina
Sharon Hess
B: 1944-02-16
D: 2018-08-14
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Hess, Sharon
Joyce Hughes
B: 1943-05-15
D: 2018-08-14
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Hughes, Joyce
Mildred Hutton
B: 1926-04-17
D: 2018-08-13
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Hutton, Mildred
Benjamin Morgan
B: 1924-05-06
D: 2018-08-13
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Morgan, Benjamin
Joseph Morga
B: 1931-01-12
D: 2018-08-13
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Morga, Joseph
Eleanor Hall
B: 1928-02-18
D: 2018-08-13
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Hall, Eleanor
Phoebe Adams
B: 1937-06-17
D: 2018-08-11
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Adams, Phoebe
Braxtyn Staley
B: 2018-08-11
D: 2018-08-11
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Staley, Braxtyn
Linnis Ritenour
B: 1949-10-16
D: 2018-08-10
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Ritenour, Linnis
John Sherman
B: 1942-09-01
D: 2018-08-10
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Sherman, John
James Miller
B: 1932-04-03
D: 2018-08-09
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Miller, James
Richard Shirley
B: 1942-07-26
D: 2018-08-09
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Shirley, Richard

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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:

Miscellaneous Notes and Instructions:

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