Obituaries

Robert Ulrich
B: 1944-04-03
D: 2019-10-25
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Ulrich, Robert
Beatrice Nixon
B: 1927-09-19
D: 2019-10-20
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Nixon, Beatrice
Frank Jacobs
B: 1928-12-05
D: 2019-10-12
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Jacobs, Frank
Helen Huyett
B: 1928-08-05
D: 2019-10-07
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Huyett, Helen
Mary Mellinger
B: 1936-10-31
D: 2019-10-05
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Mellinger, Mary
Elizabeth A. Watson
B: 1926-02-11
D: 2019-09-14
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Watson, Elizabeth A.
William Strause
B: 1954-10-10
D: 2019-09-10
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Strause, William
Ruth Millisock
B: 1945-05-31
D: 2019-08-29
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Millisock, Ruth
Catharine Zubaly
B: 1960-07-25
D: 2019-08-28
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Zubaly, Catharine
Lee Green
B: 1952-02-20
D: 2019-08-17
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Green, Lee
Philip Stauffer
B: 1942-12-22
D: 2019-07-27
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Stauffer, Philip
Harold Ertz
B: 1929-12-10
D: 2019-06-10
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Ertz, Harold
George Plank
B: 1934-12-04
D: 2019-06-08
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Plank, George
Fred Miller
B: 1930-08-30
D: 2019-05-24
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Miller, Fred
R. Keith Elmer
B: 1954-11-27
D: 2019-05-04
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Elmer, R. Keith
Judith Siegel
B: 1944-07-12
D: 2019-05-02
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Siegel, Judith
Robert Lauer
B: 1929-08-06
D: 2019-04-23
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Lauer, Robert
Joshua McElyea
B: 1985-05-03
D: 2019-04-22
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McElyea, Joshua
Betty Chernick
B: 1947-11-09
D: 2019-04-12
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Chernick, Betty
Lester Fern
B: 1951-10-31
D: 2019-04-01
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Fern, Lester
Russell Yost
B: 1925-05-30
D: 2019-03-25
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Yost, Russell

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315 East Main St.
Supervisor: Sven E. Miller
New Holland, PA 17557
Phone: (717) 354-2227
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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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