Obituaries

Ronald Sidovar
B: 1945-10-22
D: 2017-04-23
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Sidovar, Ronald
Joyce Pfancook
B: 1932-11-17
D: 2017-04-23
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Pfancook, Joyce
Joyce Donoher
B: 1940-09-19
D: 2017-04-21
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Donoher, Joyce
Mary Bianco
B: 1917-05-29
D: 2017-04-15
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Bianco, Mary
Vincent DeLuzio
B: 1971-10-16
D: 2017-04-13
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DeLuzio, Vincent
Peter Hogden
B: 1962-08-05
D: 2017-03-31
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Hogden, Peter
Margaret Lowenburg
B: 1918-05-01
D: 2017-03-27
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Lowenburg, Margaret
Ruth Smith
B: 1947-02-08
D: 2017-03-26
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Smith, Ruth
Maryann Aglio
B: 1921-03-03
D: 2017-03-23
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Aglio, Maryann
Joy Bachman
B: 1967-09-18
D: 2017-03-15
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Bachman, Joy
Henry Motacki
B: 1925-08-26
D: 2017-03-14
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Motacki, Henry
James McCrimon
B: 1985-06-10
D: 2017-03-12
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McCrimon, James
Brian Sweeney
B: 1961-09-19
D: 2017-03-10
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Sweeney, Brian
Dorothy Sommers
B: 1942-10-03
D: 2017-03-07
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Sommers, Dorothy
Donald Zettlemoyer
B: 1937-07-18
D: 2017-03-06
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Zettlemoyer, Donald
Bobbi Greydanus
B: 1979-03-24
D: 2017-03-01
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Greydanus, Bobbi
Carl Kunkle
B: 1927-09-27
D: 2017-02-27
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Kunkle, Carl
Rev. James Ziegenfus
B: 1919-11-13
D: 2017-02-25
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Ziegenfus, Rev. James
Justin Smith
B: 1979-05-31
D: 2017-02-25
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Smith, Justin
Robert Mellott
B: 1963-06-06
D: 2017-02-22
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Mellott, Robert
Frank Carr
B: 1931-01-19
D: 2017-02-21
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Carr, Frank

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1763 Route 209
P.O. Box 25
Brodheadsville, PA 18322
Phone: (570) 992-4768
Fax: (570) 992-1235

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
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Zip Code:
Telephone Number: (xxx-xxx-xxxx)
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Date of Birth: (month/day/year)
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Residence History:
Father's Name:
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Mother's Name:
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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:
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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

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Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
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The cemetery property is in the name of:

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