Obituaries

Robert Black
B: 1951-07-05
D: 2018-05-20
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Black, Robert
Jean Motts
B: 1933-04-27
D: 2018-05-11
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Motts, Jean
Walter Hill
B: 1935-05-26
D: 2018-05-08
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Hill, Walter
Martin Motts
B: 1928-08-28
D: 2018-05-08
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Motts, Martin
Gerald Haydt
B: 1939-08-17
D: 2018-05-06
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Haydt, Gerald
Hassan Nelson
B: 1959-08-13
D: 2018-05-03
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Nelson, Hassan
Kathleen Vitanza
B: 1963-12-27
D: 2018-04-29
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Vitanza, Kathleen
Gary Plump
B: 1954-05-31
D: 2018-04-29
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Plump, Gary
Loretta Bogart
B: 1937-03-04
D: 2018-04-27
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Bogart, Loretta
Evelyn Podrazik
B: 1942-10-05
D: 2018-04-24
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Podrazik, Evelyn
Carmine Pagano
B: 1924-11-28
D: 2018-04-24
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Pagano, Carmine
Sharon Phillips
B: 1960-08-18
D: 2018-04-22
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Phillips, Sharon
Jorge Colon
B: 1946-01-27
D: 2018-04-17
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Colon, Jorge
Thelma Searfoss
B: 1920-07-09
D: 2018-04-14
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Searfoss, Thelma
Paul Ruggiero
B: 1963-06-06
D: 2018-04-12
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Ruggiero, Paul
Frederick Schmidt
B: 1936-03-17
D: 2018-04-05
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Schmidt, Frederick
Rosemary Petty
B: 1934-12-07
D: 2018-04-03
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Petty, Rosemary
Richard Salter
B: 1960-08-26
D: 2018-04-02
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Salter, Richard
Elmer Frantz
B: 1928-07-28
D: 2018-03-24
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Frantz, Elmer
Dorothy Meckes
B: 1921-11-25
D: 2018-03-20
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Meckes, Dorothy
Howard Newhard
B: 1934-01-23
D: 2018-03-20
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Newhard, Howard

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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:
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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:
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Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
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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:
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III. Service Preferences

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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