Obituaries

Laurence Eberle
B: 1965-10-06
D: 2019-04-23
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Eberle, Laurence
Martha Bowman
B: 1924-03-03
D: 2019-04-23
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Bowman, Martha
Emily Sibole
B: 1940-01-27
D: 2019-04-23
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Sibole, Emily
Elocadio Urias
B: 1929-12-09
D: 2019-04-22
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Urias, Elocadio
George Knouse
B: 1933-06-17
D: 2019-04-22
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Knouse, George
Barbara Whetsell
B: 1936-12-25
D: 2019-04-21
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Whetsell, Barbara
Carolyn Elmer
B: 1928-05-04
D: 2019-04-19
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Elmer, Carolyn
Joan Cook
D: 2019-04-19
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Cook, Joan
Jan Gummel
B: 1945-09-28
D: 2019-04-19
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Gummel, Jan
Myrtie Keller
B: 1928-02-23
D: 2019-04-19
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Keller, Myrtie
Donna Morris
B: 1955-03-10
D: 2019-04-19
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Morris, Donna
Joan Burkhart
B: 1944-09-22
D: 2019-04-18
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Burkhart, Joan
Anthony Howell
B: 1963-10-18
D: 2019-04-18
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Howell, Anthony
Russell Griffin, III
B: 1979-04-20
D: 2019-04-17
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Griffin, III, Russell
Richard Payne
B: 1935-09-08
D: 2019-04-16
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Payne, Richard
James Wasson
B: 1937-10-04
D: 2019-04-16
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Wasson, James
Wilbert Hanlin
D: 2019-04-16
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Hanlin, Wilbert
Charles Thorne, III
B: 1944-08-20
D: 2019-04-16
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Thorne, III, Charles
Wilma Cooper
B: 1932-08-13
D: 2019-04-15
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Cooper, Wilma
William Burnett
B: 1935-04-09
D: 2019-04-15
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Burnett, William
Ramona Smith
B: 1933-06-14
D: 2019-04-15
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Smith, Ramona

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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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