Obituaries

Jack Frost
D: 2018-05-22
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Frost, Jack
Neville Coerbell
D: 2018-05-21
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Coerbell, Neville
Elena Danza
D: 2018-05-18
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Danza, Elena
Suzannie Charles
D: 2018-05-16
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Charles, Suzannie
Matthew Constantino
D: 2018-05-14
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Constantino, Matthew
Aura Taveras
D: 2018-05-09
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Taveras, Aura
Din Ally
D: 2018-05-07
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Ally, Din
George L. Carson
D: 2018-04-30
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Carson, George L.
Jean-Marie Joseph Moise
D: 2018-04-27
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Moise, Jean-Marie Joseph
Raymonde Berthier
D: 2018-04-24
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Berthier, Raymonde
Lucille Mitchell
D: 2018-04-24
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Mitchell, Lucille
Daniel Cody
D: 2018-04-23
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Cody, Daniel
Barbara Landolfi
D: 2018-04-23
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Landolfi, Barbara
Rose DeFranco
D: 2018-04-17
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DeFranco, Rose
Gerard Moore
D: 2018-04-17
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Moore, Gerard
Kathleen W. Hallahan
D: 2018-04-14
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Hallahan, Kathleen W.
Joseph C. Vento
D: 2018-04-11
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Vento, Joseph C.
Louis B. Cardiello KHS
D: 2018-04-06
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Cardiello KHS, Louis B.
Michael Mullen
D: 2018-04-06
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Mullen, Michael
Gail Ann Peters
D: 2018-04-03
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Peters, Gail Ann
Joseph Gordon
D: 2018-03-29
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Gordon, Joseph

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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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