Obituaries

Tomattie Tiwari
B: 1943-09-01
D: 2018-08-17
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Tiwari, Tomattie
Marie Gambino
B: 1928-06-01
D: 2018-08-14
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Gambino, Marie
Michael Lavelle
B: 1975-02-12
D: 2018-08-13
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Lavelle, Michael
Ronald Woo
B: 1972-03-30
D: 2018-08-13
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Woo, Ronald
Liviu Levarda
B: 1946-02-06
D: 2018-08-12
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Levarda, Liviu
Udai Shivsankar
B: 1944-03-27
D: 2018-08-10
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Shivsankar, Udai
Josephine Parmely
B: 1964-01-20
D: 2018-08-09
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Parmely, Josephine
Maria De Marchena
B: 1932-06-06
D: 2018-08-07
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De Marchena, Maria
Eunice Soobrian
B: 1942-02-18
D: 2018-07-31
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Soobrian, Eunice
Josephine DeSimone
B: 1932-01-14
D: 2018-07-31
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DeSimone, Josephine
Thomas Nicoletti
B: 1920-11-12
D: 2018-07-29
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Nicoletti, Thomas
Jessie Dijkstra
B: 1922-11-25
D: 2018-07-26
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Dijkstra, Jessie
John Mullinax
B: 1925-10-29
D: 2018-07-25
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Mullinax, John
Thomas Byrne
B: 1944-06-04
D: 2018-07-20
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Byrne, Thomas
Božo Marnika
B: 1949-12-31
D: 2018-07-15
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Marnika, Božo
Indira Persaud
B: 1968-04-22
D: 2018-07-12
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Persaud, Indira
George Dispaltro
B: 1920-01-05
D: 2018-07-11
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Dispaltro, George
Angelo Dans
B: 1930-09-20
D: 2018-07-10
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Dans, Angelo
Alphonse Cuccurullo
B: 1953-06-26
D: 2018-07-08
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Cuccurullo, Alphonse
Devadas Harichand
B: 1962-06-09
D: 2018-07-07
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Harichand, Devadas
Mary Jane Falk
B: 1957-10-12
D: 2018-07-04
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Falk, Mary Jane

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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:

Miscellaneous Notes and Instructions:

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