Obituaries

Lance Preiser
B: 1971-09-22
D: 2017-03-22
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Preiser, Lance
Joseph Sacco
B: 1923-01-01
D: 2017-03-20
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Sacco, Joseph
Leatrice Gross
B: 1930-03-16
D: 2017-03-20
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Gross, Leatrice
James Campbell
B: 1958-12-28
D: 2017-03-20
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Campbell, James
Joseph Rosen
B: 1958-12-02
D: 2017-03-18
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Rosen, Joseph
John Clemente
B: 1955-04-11
D: 2017-03-18
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Clemente, John
Mary Pisano
B: 1931-07-08
D: 2017-03-17
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Pisano, Mary
Rita Duley
B: 1933-04-27
D: 2017-03-17
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Duley, Rita
Albert El-Hakim
B: 1953-11-18
D: 2017-03-16
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El-Hakim, Albert
Dawn Belenski
B: 1964-06-26
D: 2017-03-16
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Belenski, Dawn
Tillie Modeck
B: 1923-02-26
D: 2017-03-15
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Modeck, Tillie
Jacqueline Andras
B: 1965-09-12
D: 2017-03-13
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Andras, Jacqueline
Eva Wecker
B: 1915-08-07
D: 2017-03-11
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Wecker, Eva
Frank Policastro
B: 1956-03-19
D: 2017-03-11
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Policastro, Frank
Cheng Peng
B: 1945-11-30
D: 2017-03-10
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Peng, Cheng
Aida Jaeger
B: 1930-11-24
D: 2017-03-09
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Jaeger, Aida
Edward Murphy
B: 1946-10-07
D: 2017-03-06
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Murphy, Edward
Jay Zaremba
B: 1944-07-08
D: 2017-03-05
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Zaremba, Jay
Christopher Cavallo
B: 1980-07-08
D: 2017-03-05
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Cavallo, Christopher
Max Aguado
B: 1922-05-28
D: 2017-03-01
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Aguado, Max
Antonio Barroquinia Alayon
B: 1953-10-02
D: 2017-03-01
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Barroquinia Alayon, Antonio

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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:
         

Miscellaneous Notes and Instructions:

         

             

       

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