Obituaries

Harry Silveous
B: 1930-06-25
D: 2018-11-18
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Silveous, Harry
Nancy Lyons
B: 1956-09-08
D: 2018-11-18
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Lyons, Nancy
Clara Bloyer
B: 1939-02-07
D: 2018-11-16
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Bloyer, Clara
Annie Hardy
B: 1931-10-09
D: 2018-11-16
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Hardy, Annie
Barbara Pierson
B: 1949-11-02
D: 2018-11-15
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Pierson, Barbara
Donna Washburn
B: 1945-07-23
D: 2018-11-15
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Washburn, Donna
Betty Faircloth
B: 1933-08-06
D: 2018-11-14
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Faircloth, Betty
Joseph Ceravalo
B: 1973-06-13
D: 2018-11-13
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Ceravalo, Joseph
James Taylor
B: 1932-11-21
D: 2018-11-12
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Taylor, James
Irene Mitchell
B: 1941-07-30
D: 2018-11-12
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Mitchell, Irene
Richard Hager
B: 1947-01-26
D: 2018-11-10
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Hager, Richard
Ronald Watson
B: 1947-08-13
D: 2018-11-10
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Watson, Ronald
Robert Butler
B: 1923-04-04
D: 2018-11-09
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Butler, Robert
Doris McCormick
B: 1933-09-17
D: 2018-11-08
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McCormick, Doris
Wynona Trexler
B: 1937-07-21
D: 2018-11-08
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Trexler, Wynona
Michele Paul
B: 1978-07-11
D: 2018-11-07
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Paul, Michele
Phyllis Scott
B: 1959-01-25
D: 2018-11-07
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Scott, Phyllis
Roberta Fisher
B: 1936-11-23
D: 2018-11-05
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Fisher, Roberta
Norma Finfrock
B: 1923-01-17
D: 2018-11-05
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Finfrock, Norma
Joan Ryan
B: 1932-05-14
D: 2018-11-04
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Ryan, Joan
Jerald Roethler
B: 1940-02-26
D: 2018-11-03
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Roethler, Jerald

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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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