Obituaries

Mary Barnes
B: 1927-05-20
D: 2017-10-21
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Barnes, Mary
William Decker
B: 1919-02-03
D: 2017-10-20
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Decker, William
Darrell Musser
B: 1951-05-22
D: 2017-10-18
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Musser, Darrell
Miriam Chilcoat
B: 1926-07-09
D: 2017-10-17
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Chilcoat, Miriam
Linda Peters
B: 1947-04-24
D: 2017-10-16
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Peters, Linda
Rebecca Hauser
B: 1949-10-24
D: 2017-10-13
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Hauser, Rebecca
Stanley Gully
B: 1961-10-16
D: 2017-10-09
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Gully, Stanley
Iris Franco
B: 1921-05-27
D: 2017-10-03
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Franco, Iris
Piper Caldwell
B: 2017-04-30
D: 2017-09-30
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Caldwell, Piper
Emily Loke
B: 1929-04-18
D: 2017-09-26
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Loke, Emily
Shirley Corman
B: 1935-11-20
D: 2017-09-25
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Corman, Shirley
Patsy Beeman
B: 1934-11-25
D: 2017-09-25
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Beeman, Patsy
Norman Deno
B: 1921-02-15
D: 2017-09-22
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Deno, Norman
Elizabeth Potter
B: 1939-04-08
D: 2017-09-21
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Potter, Elizabeth
Mary Ulmer Ballenger
B: 1925-11-14
D: 2017-09-20
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Ulmer Ballenger, Mary
Ed Burke
B: 1938-04-22
D: 2017-09-16
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Burke, Ed
Shirley Weaver
D: 2017-09-15
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Weaver, Shirley
Roland Tiracorda
B: 1916-02-06
D: 2017-09-14
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Tiracorda, Roland
Sara Mauck
B: 1923-02-27
D: 2017-09-12
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Mauck, Sara
John Puff
B: 1924-02-16
D: 2017-09-10
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Puff, John
Rosalyn Hass
B: 1932-03-05
D: 2017-09-08
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Hass, Rosalyn

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1034 Benner Pike
State College, PA 16801
Phone: (814) 234-0332
Fax: (814) 234-5630

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Mark D. Heintzelman Funeral & Cremation Services, P.C., please notify us first by phone at (814) 234-0332.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
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/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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