Obituaries

Joseph Orsini
B: 1939-01-04
D: 2018-12-13
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Orsini, Joseph
Donald Kendall
B: 1937-01-05
D: 2018-12-12
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Kendall, Donald
Kelly O'Neill Siccardi
B: 1959-01-06
D: 2018-12-12
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O'Neill Siccardi, Kelly
William McLoof
B: 1918-04-09
D: 2018-12-11
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McLoof, William
Michael Centanni
B: 1955-01-24
D: 2018-12-09
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Centanni, Michael
John Pannucci
B: 1925-01-10
D: 2018-12-09
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Pannucci, John
Henry Holden
B: 1942-08-30
D: 2018-12-09
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Holden, Henry
Elinor DeSenna
B: 1932-08-20
D: 2018-12-07
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DeSenna, Elinor
Margaret Appleby
B: 1932-06-06
D: 2018-12-05
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Appleby, Margaret
Ruth Treglia
B: 1933-09-26
D: 2018-12-04
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Treglia, Ruth
Betty O'Leary
B: 1932-03-05
D: 2018-12-01
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O'Leary, Betty
Albert Lee
B: 1955-10-23
D: 2018-12-01
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Lee, Albert
Alcadia "Carmen" Jackson
B: 1926-11-09
D: 2018-11-30
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Jackson, Alcadia "Carmen"
Eleanor Janowski
B: 1927-06-01
D: 2018-11-30
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Janowski, Eleanor
Susan Terrell
B: 1966-09-01
D: 2018-11-29
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Terrell, Susan
Joan Young
B: 1934-11-03
D: 2018-11-29
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Young, Joan
Stanley Gawel
B: 1936-10-17
D: 2018-11-27
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Gawel, Stanley
Jennifer Peterson
B: 1981-08-01
D: 2018-11-25
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Peterson, Jennifer
Charles "Charlie" Dishon
B: 1922-07-25
D: 2018-11-22
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Dishon, Charles "Charlie"
William Lindner
B: 1939-09-04
D: 2018-11-20
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Lindner, William
Benito Melendez
B: 1932-12-07
D: 2018-11-20
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Melendez, Benito

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145 Saint Catherine Boulevard
Toms River, NJ 08757
Phone: 732-505-1900
Fax: 732-244-2226

Peace of Mind and Heart

Before, During and Beyond

Timothy E. Ryan Owner/Senior Director

N.J. Lic. No. 3103

Immediate Need


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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