Obituaries

E. Slonaker
B: 1932-01-26
D: 2018-08-14
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Slonaker, E.
Mildred Hutton
B: 1926-04-17
D: 2018-08-13
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Hutton, Mildred
Benjamin Morgan
B: 1924-05-06
D: 2018-08-13
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Morgan, Benjamin
Phoebe Adams
B: 1937-06-17
D: 2018-08-11
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Adams, Phoebe
Braxtyn Staley
B: 2018-08-11
D: 2018-08-11
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Staley, Braxtyn
Linnis Ritenour
B: 1949-10-16
D: 2018-08-10
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Ritenour, Linnis
John Sherman
B: 1942-09-01
D: 2018-08-10
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Sherman, John
James Miller
B: 1932-04-03
D: 2018-08-09
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Miller, James
Richard Shirley
B: 1942-07-26
D: 2018-08-09
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Shirley, Richard
Gilbert McDaniel
B: 1964-07-18
D: 2018-08-09
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McDaniel, Gilbert
Paul Simmons
B: 1925-11-30
D: 2018-08-08
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Simmons, Paul
Linda Kaylor
B: 1945-01-08
D: 2018-08-08
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Kaylor, Linda
Cindy Tyeryar
B: 1962-12-21
D: 2018-08-08
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Tyeryar, Cindy
Alexandra Charvat
B: 1943-08-20
D: 2018-08-08
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Charvat, Alexandra
Edgar Mason
B: 1940-01-22
D: 2018-08-07
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Mason, Edgar
Pastor Douglass Campbell
B: 1949-11-02
D: 2018-08-07
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Campbell, Pastor Douglass
Marjorie Ridgeway
B: 1942-10-06
D: 2018-08-07
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Ridgeway, Marjorie
Barbara Jacko
B: 1961-02-14
D: 2018-08-06
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Jacko, Barbara
Elden Marple
B: 1949-12-15
D: 2018-08-06
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Marple, Elden
Bryan Lee
B: 1957-11-10
D: 2018-08-06
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Lee, Bryan
Angela McCorkle
B: 1950-05-14
D: 2018-08-05
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McCorkle, Angela

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327 West King St.
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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