Obituaries

Thomas Kees
B: 1966-09-06
D: 2017-12-16
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Kees, Thomas
Gloria Meredith
B: 1940-07-14
D: 2017-12-16
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Meredith, Gloria
Donald Collett
B: 1937-07-18
D: 2017-12-16
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Collett, Donald
Wayne Houseright
B: 1970-07-28
D: 2017-12-15
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Houseright, Wayne
Roy Jones
B: 1933-05-10
D: 2017-12-15
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Jones, Roy
Cleve Elrod
B: 1944-11-10
D: 2017-12-13
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Elrod, Cleve
Jewell Haines
B: 1924-07-16
D: 2017-12-13
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Haines, Jewell
Norman Gardner
B: 1929-02-04
D: 2017-12-13
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Gardner, Norman
Rosalie Santilhano
B: 1930-10-10
D: 2017-12-11
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Santilhano, Rosalie
Mae Hess
B: 1932-04-23
D: 2017-12-10
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Hess, Mae
Junior Green
B: 1929-03-09
D: 2017-12-10
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Green, Junior
Lucy Smith
B: 1930-08-31
D: 2017-12-10
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Smith , Lucy
Harold Davis
B: 1930-12-11
D: 2017-12-10
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Davis, Harold
Charles Hopkins
B: 1952-01-14
D: 2017-12-09
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Hopkins, Charles
Robert Goode
B: 1952-06-12
D: 2017-12-09
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Goode, Robert
Harry Martz
B: 1943-04-16
D: 2017-12-09
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Martz, Harry
Connie Harrison
B: 1962-10-23
D: 2017-12-09
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Harrison, Connie
Alice Bowers
B: 1939-12-27
D: 2017-12-08
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Bowers, Alice
Peggy Ruff
B: 1980-04-14
D: 2017-12-08
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Ruff, Peggy
Rozellia Furgason
B: 1933-06-17
D: 2017-12-07
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Furgason, Rozellia
Jackie Avey-King
B: 1944-01-19
D: 2017-12-06
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Avey-King, Jackie

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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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