Obituaries

Patrick Casey
B: 1955-02-03
D: 2017-09-18
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Casey, Patrick
Maria Brys
B: 1943-08-14
D: 2017-09-16
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Brys, Maria
Verna Paczkowski
B: 1925-03-31
D: 2017-09-16
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Paczkowski, Verna
John Donovan
B: 1926-01-06
D: 2017-09-15
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Donovan, John
Bernard Grimaldi
B: 1947-02-01
D: 2017-09-15
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Grimaldi, Bernard
Mario Signorile
B: 1920-05-10
D: 2017-09-13
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Signorile, Mario
Joseph Gullace
B: 1926-05-11
D: 2017-09-12
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Gullace, Joseph
Jean Macdonald
B: 1932-03-06
D: 2017-09-12
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Macdonald, Jean
Maria Wojciechowicz
B: 1928-03-28
D: 2017-09-11
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Wojciechowicz, Maria
Gregory Fazekas
B: 1994-07-16
D: 2017-09-09
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Fazekas, Gregory
Joan Wason
B: 1930-06-03
D: 2017-09-09
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Wason, Joan
Kenneth Lueddeke, Jr.
B: 1943-10-13
D: 2017-09-07
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Lueddeke, Jr., Kenneth
Alvin Beilin
B: 1923-08-11
D: 2017-09-06
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Beilin, Alvin
Myung Sovey
B: 1940-10-22
D: 2017-09-05
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Sovey, Myung
Steve Oravetz
B: 1927-01-10
D: 2017-08-31
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Oravetz, Steve
Carmine Sedita
B: 1931-09-12
D: 2017-08-31
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Sedita, Carmine
John Appleby
B: 1931-10-09
D: 2017-08-31
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Appleby, John
Virginia Kahle
B: 1931-09-03
D: 2017-08-30
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Kahle, Virginia
Thomas McCormack
B: 1930-09-01
D: 2017-08-30
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McCormack, Thomas
Josephine "Joanne" Lurig
B: 1942-10-27
D: 2017-08-30
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Lurig, Josephine "Joanne"
Cody Strickland
B: 1994-02-15
D: 2017-08-29
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Strickland, Cody

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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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