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Pre-Arrange Online

Pre-Arrange Online

Name:

Name at Birth:

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Date of Birth:

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Residence Address:

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Birthplace:

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Surviving Spouse (Maiden Name):

Ancestry:

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Hispanic Origin:

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Father's Name:

Mother's Name

Informant's Name:

Relationship:

Informant Address:

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Wetzler Funeral Home, Inc.

PO Box 7 / 206 N. Spring St.

Bellefonte, PA 16823

Fax: (814) 355-2898

Email: wetzlerfuneralhome@gmail.com

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