Obituaries

Mary Crumbie
B: 1936-02-18
D: 2018-05-16
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Crumbie, Mary
Charles Lacey
B: 1935-12-28
D: 2018-05-15
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Lacey, Charles
Florence Shaffer
B: 1929-03-10
D: 2018-05-14
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Shaffer, Florence
Helen Dickens
B: 1934-01-29
D: 2018-05-12
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Dickens, Helen
Ralph Renner
B: 1934-02-26
D: 2018-05-09
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Renner, Ralph
Mary Sies
B: 1931-10-08
D: 2018-05-09
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Sies, Mary
Helen O'Brien
B: 1945-12-01
D: 2018-05-08
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O'Brien, Helen
Jesse McGee
B: 1936-08-22
D: 2018-05-07
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McGee, Jesse
Vallory Shearer
B: 1952-02-15
D: 2018-05-07
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Shearer, Vallory
Frank Donato
B: 1946-08-04
D: 2018-05-06
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Donato, Frank
Richard Cassidy
B: 1950-08-23
D: 2018-05-06
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Cassidy, Richard
Donya Shover
B: 1939-06-16
D: 2018-05-04
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Shover, Donya
Barbara Abbott
B: 1950-07-30
D: 2018-05-03
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Abbott, Barbara
Kate Glover
B: 1980-02-23
D: 2018-05-03
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Glover, Kate
Rosemary Miller
B: 1929-12-21
D: 2018-04-30
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Miller, Rosemary
Gilbert Kost
B: 1926-10-07
D: 2018-04-29
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Kost, Gilbert
David Georg
B: 1929-04-10
D: 2018-04-27
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Georg, David
Mary Seipp
B: 1932-04-30
D: 2018-04-25
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Seipp, Mary
Richard Klinefelter
B: 1926-04-11
D: 2018-04-22
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Klinefelter, Richard
Michael McIntosh
B: 1956-07-12
D: 2018-04-22
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McIntosh, Michael
Robert Martin
B: 1948-05-02
D: 2018-04-19
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Martin, Robert

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Reisterstown, MD 21136
Phone: 410-833-1414
Fax: 410-833-1328

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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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