Obituaries

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
Robin Bronstein - Hargraves
B: 1961-09-05
D: 2017-02-10
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Bronstein - Hargraves, Robin
Susanne Smith
B: 1946-01-03
D: 2017-01-30
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Smith, Susanne
Seena Lambert
B: 1926-08-23
D: 2017-01-26
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Lambert, Seena
Marvin Berger
B: 1929-10-22
D: 2017-01-23
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Berger, Marvin
Karen Kadens
B: 1951-03-28
D: 2017-01-21
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Kadens, Karen
Suzanne Schlussel
B: 1925-09-26
D: 2017-01-17
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Schlussel, Suzanne
Max Schindler
B: 1929-06-18
D: 2017-01-14
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Schindler, Max
Dr. Gale Kloeffler
B: 1927-12-09
D: 2017-01-09
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Kloeffler, Dr. Gale
Solomon Arya
B: 1937-12-31
D: 2017-01-06
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Arya, Solomon
Rachel Joseph
B: 1967-08-30
D: 2017-01-02
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Joseph, Rachel
Susan Weller
B: 1942-09-16
D: 2016-12-25
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Weller, Susan
Arieh Rosenberg
B: 1933-12-11
D: 2016-12-17
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Rosenberg, Arieh
Michael Wallace
B: 1938-09-23
D: 2016-12-12
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Wallace, Michael

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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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