Obituaries

Shao Liang
D: 2017-03-22
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Liang, Shao
Mary Barlotta
D: 2017-03-21
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Barlotta, Mary
Teodoro Cambeiro
D: 2017-03-21
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Cambeiro, Teodoro
John Bonsignore
D: 2017-03-20
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Bonsignore, John
Elizabeth Coton
D: 2017-03-19
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Coton, Elizabeth
Jerome Bivona
D: 2017-03-18
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Bivona, Jerome
Angelina DeLuca
D: 2017-03-17
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DeLuca, Angelina
Mary D'Agostino
D: 2017-03-17
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D'Agostino, Mary
Angelina Canitano
D: 2017-03-17
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Canitano, Angelina
Catherine Miceli
B: 1918-11-07
D: 2017-03-16
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Miceli, Catherine
Santo Parisi
D: 2017-03-16
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Parisi, Santo
Giuseppina Cartella
D: 2017-03-16
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Cartella, Giuseppina
Alfred Adiutori
D: 2017-03-15
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Adiutori, Alfred
Margaret Caldiero
D: 2017-03-14
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Caldiero, Margaret
Branka Armenia
D: 2017-03-14
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Armenia, Branka
Stanley Leys
B: 1927-05-20
D: 2017-03-14
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Leys, Stanley
Evelyn Mills
B: 1939-08-19
D: 2017-03-11
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Mills, Evelyn
Mary DeFrancesco
B: 1928-08-12
D: 2017-03-11
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DeFrancesco, Mary
Erimonne Cyprien
B: 1933-09-17
D: 2017-03-10
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Cyprien, Erimonne
Marie Clement
B: 1939-01-04
D: 2017-03-09
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Clement, Marie
Providence Marchese
D: 2017-03-08
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Marchese, Providence

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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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