Obituaries

Benjamin Combs
B: 1955-09-25
D: 2017-07-23
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Combs, Benjamin
Andrew Gates
B: 1936-11-18
D: 2017-07-22
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Gates, Andrew
Sandra Norton
B: 1942-06-17
D: 2017-07-21
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Norton, Sandra
Patricia Kilmer
B: 1946-07-29
D: 2017-07-20
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Kilmer, Patricia
Mary Huff
B: 1933-02-21
D: 2017-07-20
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Huff, Mary
Ronald Peggs
B: 1950-04-22
D: 2017-07-20
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Peggs, Ronald
Dolores Matchett
B: 1924-03-06
D: 2017-07-19
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Matchett, Dolores
Robert Montgomery
B: 1939-06-05
D: 2017-07-19
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Montgomery, Robert
Ulis Johnson
B: 1933-03-21
D: 2017-07-18
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Johnson, Ulis
Louise Elfreth
B: 1944-01-20
D: 2017-07-18
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Elfreth, Louise
Eva Woolridge
B: 1923-02-04
D: 2017-07-18
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Woolridge, Eva
Eric Clark
B: 1973-09-07
D: 2017-07-17
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Clark, Eric
Ruth Gruber
B: 1952-12-16
D: 2017-07-17
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Gruber, Ruth
Crystal Armel
B: 1984-08-06
D: 2017-07-16
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Armel, Crystal
Glenda Wilt
B: 1947-07-14
D: 2017-07-13
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Wilt, Glenda
Sarah Wilmon
B: 1929-08-10
D: 2017-07-12
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Wilmon, Sarah
Robert Hess
B: 1960-08-07
D: 2017-07-10
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Hess, Robert
Betty Keesecker
B: 1937-02-12
D: 2017-07-10
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Keesecker, Betty
Kenneth Sims
B: 1945-07-05
D: 2017-07-09
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Sims, Kenneth
Gregory Boswell
B: 1956-11-02
D: 2017-07-09
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Boswell, Gregory
Christoper Hughes
B: 1972-03-09
D: 2017-07-08
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Hughes, Christoper

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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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