Obituaries

June Griffith Myers
B: 2018-01-06
D: 2017-04-25
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Griffith Myers, June
George Leopold
B: 1943-08-14
D: 2017-04-23
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Leopold, George
Charles Smith
B: 1944-08-08
D: 2017-04-22
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Smith, Charles
Peter Mattax
B: 1953-11-05
D: 2017-04-22
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Mattax, Peter
Norman Calhoun
B: 1946-04-13
D: 2017-04-21
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Calhoun, Norman
Dakota Adams
B: 1993-02-01
D: 2017-04-21
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Adams, Dakota
Eleanor Little
B: 1928-12-14
D: 2017-04-20
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Little, Eleanor
Reginald Alford
B: 1982-04-08
D: 2017-04-20
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Alford, Reginald
Winfred Jenkins
B: 1929-03-21
D: 2017-04-20
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Jenkins, Winfred
Charles Collins
B: 1954-09-12
D: 2017-04-20
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Collins, Charles
Gerry Walters
B: 1942-08-12
D: 2017-04-19
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Walters, Gerry
Edith Owens
B: 1953-01-03
D: 2017-04-19
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Owens, Edith
Luke Parker
B: 2017-04-18
D: 2017-04-18
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Parker, Luke
Patsy Hess
B: 1937-05-05
D: 2017-04-17
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Hess, Patsy
Lajuane Dozier
B: 1975-08-14
D: 2017-04-15
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Dozier, Lajuane
Michele Linaburg
B: 1974-11-28
D: 2017-04-15
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Linaburg, Michele
Oliver Nathan-Dugan
B: 2011-05-10
D: 2017-04-15
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Nathan-Dugan, Oliver
Oliver Dugan
B: 2011-05-10
D: 2017-04-15
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Dugan, Oliver
Kendel Duvall
B: 1949-07-03
D: 2017-04-15
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Duvall, Kendel
Curtis Barrett
B: 1977-12-05
D: 2017-04-15
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Barrett, Curtis
Marvin Miller
B: 1939-01-29
D: 2017-04-14
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Miller, Marvin

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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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