Obituaries

John Burkett
B: 1936-10-17
D: 2017-10-17
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Burkett, John
Theresa Russell
B: 1925-12-02
D: 2017-10-16
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Russell, Theresa
William Cook
B: 1931-02-21
D: 2017-10-16
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Cook, William
Marion Shipper
B: 1933-11-29
D: 2017-10-15
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Shipper, Marion
Edgar Kane
B: 1934-08-15
D: 2017-10-15
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Kane, Edgar
Richard Williams
B: 1949-11-22
D: 2017-10-14
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Williams, Richard
Aaron Brindle
B: 1969-11-05
D: 2017-10-14
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Brindle, Aaron
Karen Hill
B: 1949-04-13
D: 2017-10-13
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Hill, Karen
Ethel Haines
B: 1933-01-28
D: 2017-10-13
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Haines, Ethel
Chrystal White
B: 1974-08-07
D: 2017-10-13
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White, Chrystal
Deborah Hammond
B: 1953-03-20
D: 2017-10-12
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Hammond, Deborah
Christine Tabler
B: 1923-06-17
D: 2017-10-11
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Tabler, Christine
Shirley Lapp
B: 1943-12-15
D: 2017-10-11
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Lapp, Shirley
Heather LePage
B: 1971-07-02
D: 2017-10-11
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LePage, Heather
Steven Reneker
B: 1953-05-15
D: 2017-10-10
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Reneker, Steven
Ray Getts, Jr.
B: 1938-04-21
D: 2017-10-09
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Getts, Jr., Ray
Treva Miller
B: 1921-10-15
D: 2017-10-09
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Miller, Treva
Mary Shupp
B: 1935-01-15
D: 2017-10-08
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Shupp, Mary
Kathlena Shank
B: 1926-06-15
D: 2017-10-08
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Shank, Kathlena
Henry Plotner
B: 1948-09-09
D: 2017-10-08
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Plotner, Henry
Robert Kerns, Sr.
B: 1944-08-23
D: 2017-10-08
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Kerns, Sr., Robert

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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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