Obituaries

Judith Solomon
B: 1938-06-23
D: 2017-04-23
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Solomon, Judith
Maxine Siskind
B: 1933-06-23
D: 2017-04-22
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Siskind, Maxine
Albert Gottschalk
B: 1924-08-24
D: 2017-04-21
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Gottschalk, Albert
Elie Cheikka
B: 1942-11-17
D: 2017-04-17
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Cheikka, Elie
Jonathan Jay
B: 1972-06-11
D: 2017-04-17
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Jay, Jonathan
Robert Kolkey
B: 1924-06-22
D: 2017-04-16
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Kolkey, Robert
Marion Hirsch
B: 1931-06-02
D: 2017-04-14
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Hirsch, Marion
Faye Schwarz
B: 1923-08-28
D: 2017-04-12
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Schwarz, Faye
Edith Zybelman
B: 1924-10-24
D: 2017-04-10
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Zybelman, Edith
Edith Kahn
B: 1922-02-04
D: 2017-04-02
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Kahn, Edith
Louis Schwartz
B: 1940-09-19
D: 2017-03-27
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Schwartz, Louis
Robert Smith
B: 1951-05-29
D: 2017-03-27
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Smith, Robert
Irwin Silverstein
B: 1923-03-19
D: 2017-03-26
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Silverstein, Irwin
Gerald Rosen
B: 1933-06-24
D: 2017-02-28
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Rosen, Gerald
Irving Weiner
B: 1921-11-07
D: 2017-02-26
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Weiner, Irving
John Bloomberg
B: 1935-10-20
D: 2017-02-22
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Bloomberg, John
Stanislav Korol
B: 1938-03-31
D: 2017-02-21
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Korol, Stanislav
Bernice Gale
B: 1925-10-02
D: 2017-02-17
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Gale, Bernice
Victoria Saven
B: 1927-10-24
D: 2017-02-15
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Saven, Victoria
Sidney Sandler
B: 1922-09-27
D: 2017-02-12
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Sandler, Sidney
Joel Moskowitz
B: 1932-06-18
D: 2017-02-11
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Moskowitz, Joel

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Phone: (619) 583-8850
Fax: (619) 583-6043

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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.

Hebrew Name:

(i.e.Moshe ben David)

Father's Name:
Father's Place of Birth:
Mother's Name:
Mother's Place of Birth:
Mother's Maiden Name:
Surviving Spouse's Name:
Spouse's Maiden Name:
   
   
Occupation Prior to Retirement:
Business Type:
Company Name:
Synagogue Membership:
Other Affiliation:
         

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:
 
   
Person in Charge of Arrangements:
Officiating Clergy:
   

 

 
   
   
   
Casket Preference:
Disposition:
   
   
   
   
         

Miscellaneous Notes and Instructions:

             

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