Obituaries

Dorothy Perry
B: 1932-05-09
D: 2017-10-20
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Perry, Dorothy
Hilda Hawver
B: 1928-08-26
D: 2017-10-17
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Hawver, Hilda
Robert Janicki
B: 1943-01-15
D: 2017-10-17
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Janicki, Robert
Freda Groomes
B: 1937-04-04
D: 2017-10-17
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Groomes, Freda
Desmond Szcepanik
B: 1938-05-15
D: 2017-10-16
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Szcepanik, Desmond
Wilma Lacie Cole
B: 1923-09-21
D: 2017-10-13
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Cole, Wilma Lacie
Dorothy Fischbach
B: 1924-11-17
D: 2017-10-08
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Fischbach, Dorothy
Jared Young
B: 1987-01-06
D: 2017-10-08
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Young, Jared
W. Wilson Lippy
B: 1932-01-24
D: 2017-10-04
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Lippy, W. Wilson
Donna Baublits
B: 1951-09-25
D: 2017-10-04
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Baublits, Donna
Raymond Woollard
B: 1947-12-26
D: 2017-10-03
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Woollard, Raymond
Viola Shaffer
B: 1924-08-27
D: 2017-10-02
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Shaffer, Viola
Alden Holden
B: 1929-04-08
D: 2017-10-02
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Holden, Alden
Thomas Townshend
B: 1953-08-08
D: 2017-09-30
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Townshend, Thomas
Agnes Noyes
B: 1925-06-27
D: 2017-09-28
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Noyes, Agnes
Charles Bunce
B: 1936-02-01
D: 2017-09-28
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Bunce, Charles
Linda Baker Smith
B: 1951-04-12
D: 2017-09-27
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Baker Smith, Linda
Michael Height
B: 1955-02-15
D: 2017-09-25
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Height, Michael
John Kristian
B: 1942-05-30
D: 2017-09-23
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Kristian, John
Raymond Crumbacker
B: 1949-01-15
D: 2017-09-21
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Crumbacker, Raymond
Karl Knutsen,
B: 1982-02-07
D: 2017-09-21
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Knutsen,, Karl

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Reisterstown, MD 21136
Phone: 410-833-1414
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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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