Obituaries

Mary Kalellis
B: 1926-11-02
D: 2017-02-25
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Kalellis, Mary
Eddie Pearson
B: 1925-08-06
D: 2017-02-25
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Pearson, Eddie
Antoine Kurdy
B: 1925-01-17
D: 2017-02-22
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Kurdy, Antoine
Alexander Tsimberg
B: 1941-11-13
D: 2017-02-21
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Tsimberg, Alexander
Rosalind Berla
B: 1941-06-19
D: 2017-02-20
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Berla, Rosalind
Alba DiFalco
B: 1913-10-02
D: 2017-02-19
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DiFalco, Alba
Estelle Shorr
B: 1924-04-20
D: 2017-02-17
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Shorr, Estelle
Anneliese Scheck
B: 1934-10-17
D: 2017-02-17
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Scheck, Anneliese
David Sautters
B: 1941-04-04
D: 2017-02-16
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Sautters, David
Elaine Brodsky
B: 1921-12-23
D: 2017-02-15
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Brodsky, Elaine
Vincent Chaney
B: 1924-05-07
D: 2017-02-15
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Chaney, Vincent
Nancy La Rosa
B: 1941-08-13
D: 2017-02-13
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La Rosa, Nancy
Yong Qiang Zheng
B: 1948-10-21
D: 2017-02-12
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Zheng, Yong Qiang
Peter Veniscofski
B: 1936-02-28
D: 2017-02-10
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Veniscofski, Peter
Leo Tornatore
B: 2017-02-04
D: 2017-02-09
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Tornatore, Leo
Charles Salvaggio
B: 1940-08-20
D: 2017-02-09
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Salvaggio, Charles
Liboria Gonzalez-Garcia
B: 1934-08-02
D: 2017-02-06
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Gonzalez-Garcia, Liboria
Eugene Grawender
B: 1947-01-14
D: 2017-02-06
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Grawender, Eugene
Anne Di Mizio
B: 1926-09-29
D: 2017-02-05
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Di Mizio, Anne
Domenick Montecalvo
B: 1941-11-08
D: 2017-02-04
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Montecalvo, Domenick
Daffie Woolford
B: 1930-08-31
D: 2017-02-03
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Woolford, Daffie

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344 Route 9 North
Manalapan, NJ 07726
Phone: (732) 972-8484
Fax: (732) 972-9225

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I. Biographical Information
Full Name:
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 You In Death            
Your 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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