Obituaries

Zarifeh Yadgari
B: 1934-10-02
D: 2017-09-21
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Yadgari, Zarifeh
Robert Martin
B: 1931-02-02
D: 2017-09-17
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Martin, Robert
Eleanor Brembs
B: 1923-01-23
D: 2017-09-13
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Brembs, Eleanor
Bingjuan Chen
B: 1949-07-17
D: 2017-09-12
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Chen, Bingjuan
Daniel Fetzer
B: 1936-12-08
D: 2017-09-11
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Fetzer, Daniel
Michele Vaccaro
B: 1929-04-01
D: 2017-09-09
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Vaccaro, Michele
Fortunata Watson
B: 1929-12-03
D: 2017-09-06
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Watson, Fortunata
Michael Denny
B: 1956-10-31
D: 2017-09-04
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Denny, Michael
Lorito Tumminia
B: 1920-09-14
D: 2017-09-04
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Tumminia, Lorito
Grace Salvatore
B: 1924-07-01
D: 2017-09-03
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Salvatore, Grace
Lois Fulsher
B: 1926-04-14
D: 2017-09-02
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Fulsher, Lois
Mary Elizabeth Fiorenza
B: 1931-10-23
D: 2017-08-31
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Fiorenza, Mary Elizabeth
Richard Mathison
B: 1924-05-17
D: 2017-08-31
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Mathison, Richard
Ann Chambers
B: 1935-02-01
D: 2017-08-30
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Chambers, Ann
Margaret "Mickie" Hover
B: 1930-02-17
D: 2017-08-29
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Hover, Margaret "Mickie"
Harold Tulchin
B: 1926-12-23
D: 2017-08-29
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Tulchin, Harold
John Tavolilla
B: 1946-11-14
D: 2017-08-25
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Tavolilla, John
Sheila Cavazzi
B: 1919-11-18
D: 2017-08-25
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Cavazzi, Sheila
Margaret Maltese
B: 1925-11-26
D: 2017-08-24
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Maltese, Margaret
Alessandra Forgione
B: 1936-04-09
D: 2017-08-24
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Forgione, Alessandra
Linda Ferretti
B: 1952-11-14
D: 2017-08-22
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Ferretti, Linda

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Eastchester, NY 10709
Phone: (914) 337-4585
Fax: (914) 337-5059

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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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