Obituaries

Angelina DeCicco
B: 1923-08-04
D: 2018-04-18
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DeCicco, Angelina
Michael Eannone
B: 1919-11-04
D: 2018-04-16
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Eannone, Michael
Theresa Rychalsky
B: 1933-11-16
D: 2018-04-13
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Rychalsky, Theresa
Elaine Koeppen
B: 1948-05-07
D: 2018-04-13
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Koeppen, Elaine
Karen Gyurecz
B: 1942-01-15
D: 2018-04-12
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Gyurecz, Karen
Frank Formica, Sr.
B: 1939-01-04
D: 2018-04-10
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Formica, Sr., Frank
Bertha Glatz
B: 1941-02-27
D: 2018-04-07
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Glatz, Bertha
John Cavanna
B: 1931-12-13
D: 2018-04-07
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Cavanna, John
Katherine Diab
B: 1924-08-09
D: 2018-04-06
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Diab, Katherine
Judith Chinery-Tilton
B: 1944-01-24
D: 2018-04-05
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Chinery-Tilton, Judith
Raymond Jurusz
B: 1944-08-01
D: 2018-04-04
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Jurusz, Raymond
John Gura
B: 1920-07-18
D: 2018-04-03
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Gura, John
John "Jack" Taber
B: 1952-08-12
D: 2018-04-03
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Taber, John "Jack"
Olga Kleb
B: 1921-07-11
D: 2018-04-02
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Kleb, Olga
Lucille Ciccone
B: 1941-06-07
D: 2018-04-02
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Ciccone, Lucille
Joseph Interdonato
B: 1931-12-28
D: 2018-04-01
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Interdonato, Joseph
Patrick Healy
B: 1933-03-02
D: 2018-03-30
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Healy, Patrick
Edward Camacho
B: 1933-12-04
D: 2018-03-29
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Camacho, Edward
Anthony Pannella, Jr.
B: 1957-09-21
D: 2018-03-28
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Pannella, Jr., Anthony
Pauline Hetman
B: 1932-10-09
D: 2018-03-28
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Hetman, Pauline
Barbara Lord
B: 1926-09-08
D: 2018-03-25
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Lord, Barbara

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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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