Obituaries

Helen Steimle
D: 2018-05-15
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Steimle, Helen
Aris Mijares
D: 2018-05-14
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Mijares, Aris
Lillian Soltis
D: 2018-05-14
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Soltis, Lillian
Claude Jones
D: 2018-05-09
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Jones, Claude
Deborah Hansen
D: 2018-05-06
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Hansen, Deborah
Sarah Dempsey
D: 2018-04-27
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Dempsey, Sarah
Mildred Scarano
D: 2018-04-24
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Scarano, Mildred
Anthony Caltabilota
D: 2018-04-21
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Caltabilota, Anthony
Ernest Seggio
D: 2018-04-21
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Seggio, Ernest
Sylvia Marsico
D: 2018-04-21
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Marsico, Sylvia
Gregory Hertling
D: 2018-04-17
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Hertling, Gregory
Harriet Rice
D: 2018-04-09
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Rice, Harriet
Patricia Coyne
D: 2018-03-24
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Coyne, Patricia
Aurea Rivera
D: 2018-03-22
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Rivera, Aurea
Louis Lanzillo
D: 2018-03-16
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Lanzillo, Louis
Patricia Cernigliaro
D: 2018-03-13
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Cernigliaro, Patricia
Randhir Singh Sandhu
B: 1929-10-20
D: 2018-03-12
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Sandhu, Randhir Singh
George Karagias
D: 2018-03-11
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Karagias, George
Marilyn Olsen
D: 2018-03-08
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Olsen, Marilyn
Joseph DeRosa
D: 2018-02-27
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DeRosa, Joseph
Attilio DeSimone
D: 2018-02-26
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DeSimone, Attilio

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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)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
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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:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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