Obituaries

Barbara Burwell
B: 1938-02-06
D: 2020-03-31
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Burwell, Barbara
George Dorsey
B: 1943-09-28
D: 2020-03-30
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Dorsey, George
Linda Moon
B: 1948-04-08
D: 2020-03-29
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Moon, Linda
Donna Altland
B: 1960-08-09
D: 2020-03-29
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Altland, Donna
Oleta Shanholtz
B: 1942-03-16
D: 2020-03-28
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Shanholtz, Oleta
Alice Ripley
B: 1931-03-20
D: 2020-03-28
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Ripley, Alice
Shelby Maples
B: 1936-09-13
D: 2020-03-28
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Maples, Shelby
Juanita Boggs
B: 1944-09-07
D: 2020-03-27
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Boggs, Juanita
Harry Everhart
B: 1923-09-15
D: 2020-03-27
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Everhart, Harry
Jay Hudgins
B: 1961-05-06
D: 2020-03-26
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Hudgins, Jay
Stanley M. Bohrer
B: 1937-04-28
D: 2020-03-26
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Bohrer, Stanley M.
Carolyn Myers
B: 1947-12-12
D: 2020-03-26
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Myers, Carolyn
Curtis Shade
B: 1933-05-26
D: 2020-03-26
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Shade, Curtis
Nancy Jones
B: 1926-05-21
D: 2020-03-25
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Jones, Nancy
Doris Holliday
B: 1945-05-06
D: 2020-03-25
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Holliday, Doris
Jean Quenzel
B: 1927-02-27
D: 2020-03-25
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Quenzel, Jean
Addiela DeHaven
B: 1937-02-16
D: 2020-03-24
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DeHaven, Addiela
Diane Laing
B: 1946-10-20
D: 2020-03-24
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Laing, Diane
Sidney Smith
B: 1951-05-20
D: 2020-03-23
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Smith, Sidney
Margie Gaynor
B: 1943-03-25
D: 2020-03-23
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Gaynor, Margie
Curtis Green
B: 1932-03-14
D: 2020-03-22
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Green, Curtis

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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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