Obituaries

Joseph Corbin
B: 1930-06-02
D: 2017-09-19
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Corbin , Joseph
Gary Bowman
B: 1948-04-24
D: 2017-09-17
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Bowman, Gary
Darlene Hostler
B: 1953-12-01
D: 2017-09-17
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Hostler, Darlene
Donald Eckenrode
B: 1962-11-27
D: 2017-09-16
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Eckenrode, Donald
Cynthia Gaither
B: 1957-07-04
D: 2017-09-16
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Gaither, Cynthia
Virginia Stephens
B: 1925-07-21
D: 2017-09-15
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Stephens, Virginia
Judith Brandenburg
B: 1942-05-02
D: 2017-09-15
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Brandenburg, Judith
Melody Custer
B: 1946-11-29
D: 2017-09-15
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Custer, Melody
Ronald Cowan
B: 1953-03-13
D: 2017-09-15
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Cowan, Ronald
Herman Parks
B: 1924-02-15
D: 2017-09-15
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Parks, Herman
Madeline Brown
B: 1933-04-10
D: 2017-09-14
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Brown, Madeline
Joseph Gasper
B: 1920-03-08
D: 2017-09-13
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Gasper, Joseph
Hope Miller
B: 1950-07-20
D: 2017-09-12
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Miller , Hope
Frances Blue
B: 1919-04-26
D: 2017-09-12
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Blue, Frances
Helga Bowers
B: 1940-04-12
D: 2017-09-10
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Bowers, Helga
Rupert Frame
B: 1932-03-18
D: 2017-09-10
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Frame, Rupert
Michael Smith
B: 1967-08-07
D: 2017-09-10
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Smith, Michael
Gary Lineburg
B: 1949-09-13
D: 2017-09-08
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Lineburg, Gary
Charles Runion
B: 1951-10-17
D: 2017-09-08
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Runion, Charles
Terrisedia Carini
B: 1954-09-10
D: 2017-09-07
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Carini, Terrisedia
Helen McNeer
B: 1950-11-23
D: 2017-09-06
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McNeer, Helen

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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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