Obituaries

Luis Pena
B: 1931-09-24
D: 2017-08-18
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Pena, Luis
Mario Valera
B: 1954-08-23
D: 2017-08-03
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Valera , Mario
Anthony Iovenitti
B: 1964-07-17
D: 2017-08-02
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Iovenitti, Anthony
Lucille Giambrone
B: 1942-02-03
D: 2017-08-01
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Giambrone, Lucille
Julio Rodriquez
B: 1943-03-21
D: 2017-08-01
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Rodriquez, Julio
Martha Ferguson
B: 1922-07-22
D: 2017-07-24
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Ferguson, Martha
Elma Francis
B: 1941-12-07
D: 2017-07-22
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Francis, Elma
Ana Acosta
B: 1926-07-04
D: 2017-07-19
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Acosta, Ana
Josefina Roman
B: 1924-04-28
D: 2017-07-18
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Roman, Josefina
Loyda Tirado
B: 1928-09-21
D: 2017-07-17
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Tirado, Loyda
Rosemarie Fuca
B: 1935-03-14
D: 2017-07-17
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Fuca, Rosemarie
Felix Cerda
B: 1923-04-07
D: 2017-07-13
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Cerda, Felix
Maria Collado
B: 1926-07-06
D: 2017-07-12
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Collado, Maria
Elizabeth Rivera
B: 1947-06-21
D: 2017-07-10
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Rivera, Elizabeth
Michael Raimo
B: 1962-11-18
D: 2017-07-10
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Raimo, Michael
Michael Matwa
B: 1960-11-06
D: 2017-07-02
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Matwa, Michael
Guo-Ying Li
D: 2017-06-18
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Li, Guo-Ying
Ming Kan
B: 1940-06-24
D: 2017-06-14
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Kan, Ming
Jean Kenul
B: 1937-04-11
D: 2017-06-03
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Kenul, Jean
Raymond Mejias
B: 1957-04-14
D: 2017-05-22
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Mejias, Raymond
James Galloway
B: 1946-12-17
D: 2017-05-17
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Galloway, James

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43 2nd Ave
New York, NY 10003
Phone: 212-473-2220
Fax: 212-473-2263

Immediate Need

Let us take a moment to say we are so sorry for your loss. If you have immediate need of our services, please feel free to use the form below to provide us as much information as you have available to save time at the arrangement conference. We understand this is a difficult time and want to make things as easy as possible. Please feel free to call us anytime at 212-473-2220.

 


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:
Person in Charge of Arrangements:
Officiating Clergy:
Flower Preference:
Music Selection:
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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