Obituaries

Lidia Zhuravsky
B: 1933-10-27
D: 2019-08-12
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Zhuravsky, Lidia
Anna Mason
B: 1928-10-05
D: 2019-08-12
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Mason, Anna
Ruth Perillo
B: 1926-07-22
D: 2019-08-11
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Perillo, Ruth
John O'Brien
B: 1928-05-24
D: 2019-08-10
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O'Brien, John
Thelma DeWeil
B: 1937-08-08
D: 2019-08-08
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DeWeil, Thelma
Timothy E. Ryan, CFSP
B: 1951-06-07
D: 2019-08-07
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Ryan, CFSP, Timothy E.
Tania Jedziniak
B: 1987-08-24
D: 2019-08-07
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Jedziniak, Tania
Anna Helwig
B: 1924-10-07
D: 2019-08-06
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Helwig, Anna
Marcie Astin
B: 1953-11-19
D: 2019-08-06
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Astin, Marcie
Marcie Astin
B: 1953-11-19
D: 2019-08-05
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Astin, Marcie
William Carr
B: 1943-08-21
D: 2019-08-02
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Carr, William
Gloria McCormack
B: 1948-04-19
D: 2019-08-02
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McCormack, Gloria
Raymond Blair
B: 1937-06-07
D: 2019-07-31
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Blair, Raymond
John Grove
B: 1959-09-03
D: 2019-07-31
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Grove, John
Salvatore Falivene
B: 1943-05-06
D: 2019-07-31
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Falivene, Salvatore
Edwin Provost
B: 1942-05-10
D: 2019-07-31
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Provost, Edwin
Miriam Clisham
B: 1922-11-30
D: 2019-07-30
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Clisham, Miriam
Sylvia Mangini
B: 1927-08-31
D: 2019-07-29
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Mangini, Sylvia
Vincent Miuccio
B: 1942-04-30
D: 2019-07-29
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Miuccio, Vincent
Eugene "Gene" Shalayda
B: 1942-12-02
D: 2019-07-28
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Shalayda, Eugene "Gene"
Diana Dostie
B: 1948-12-28
D: 2019-07-27
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Dostie, Diana

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145 Saint Catherine Boulevard
Toms River, NJ 08755
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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