Obituaries

Kenneth Stanhope
B: 1946-10-14
D: 2017-02-24
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Stanhope, Kenneth
George Carroll
B: 1935-03-05
D: 2017-02-23
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Carroll, George
Karen Bowers
B: 1950-07-10
D: 2017-02-23
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Bowers, Karen
Catherine Thompson
B: 1931-06-06
D: 2017-02-21
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Thompson, Catherine
Mary Jacobs
B: 1919-09-12
D: 2017-02-19
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Jacobs, Mary
Warren French
B: 1966-06-14
D: 2017-02-19
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French, Warren
Patricia Salins
B: 1953-12-26
D: 2017-02-17
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Salins, Patricia
Frances Jones
B: 1928-05-09
D: 2017-02-17
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Jones, Frances
Phyllis Shepard
B: 1934-04-15
D: 2017-02-17
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Shepard, Phyllis
Alma Seal
B: 1947-01-05
D: 2017-02-17
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Seal, Alma
Mary Jones
B: 1936-12-31
D: 2017-02-15
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Jones, Mary
David Proper
B: 1945-10-27
D: 2017-02-13
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Proper, David
Ray Olinger
B: 1961-11-14
D: 2017-02-13
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Olinger, Ray
Gary Fowler
B: 1938-08-11
D: 2017-02-12
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Fowler, Gary
Phyllis Merceruio
B: 1934-02-12
D: 2017-02-12
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Merceruio, Phyllis
Nancy Smith
B: 1942-03-19
D: 2017-02-12
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Smith, Nancy
Harry Ray
B: 1928-12-21
D: 2017-02-11
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Ray, Harry
Pearl Moler
B: 1928-04-18
D: 2017-02-11
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Moler, Pearl
Kenneth Mason
B: 1935-02-07
D: 2017-02-11
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Mason, Kenneth
Donald Rogers
B: 1930-09-02
D: 2017-02-10
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Rogers, Donald
Reverend Russell McClatchey
B: 1939-11-20
D: 2017-02-10
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McClatchey, Reverend Russell

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Martinsburg, WV 25401
Phone: (304) 263-8896
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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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