Obituaries

Lorraine Long
B: 1930-11-02
D: 2018-02-18
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Long, Lorraine
Catherine Sereika
B: 1938-08-23
D: 2018-02-17
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Sereika, Catherine
Helen Scarnaty
B: 1937-10-05
D: 2018-02-17
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Scarnaty, Helen
Joan McGowan
B: 1938-07-08
D: 2018-02-17
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McGowan, Joan
Maureen Fisher
B: 1965-07-14
D: 2018-02-16
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Fisher, Maureen
Albert Petro
B: 1925-01-07
D: 2018-02-15
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Petro, Albert
Julie Baker
B: 1954-09-03
D: 2018-02-13
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Baker, Julie
Hope Mae Dingfeld
B: 1928-11-23
D: 2018-02-13
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Dingfeld, Hope Mae
Albert Sainato
B: 1929-08-02
D: 2018-02-12
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Sainato, Albert
Mary Oliver
B: 1947-09-09
D: 2018-02-11
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Oliver, Mary
Terence Gallagher
B: 1936-04-15
D: 2018-02-11
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Gallagher, Terence
Daniel Raimondo
B: 1933-09-29
D: 2018-02-09
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Raimondo, Daniel
Robert Bonsignore
B: 1944-08-10
D: 2018-02-08
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Bonsignore, Robert
Christopher Bagarozy
B: 1978-03-14
D: 2018-02-08
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Bagarozy, Christopher
Edna Farrar
B: 1932-01-01
D: 2018-02-05
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Farrar, Edna
Joan Cirelli
B: 1926-08-31
D: 2018-02-02
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Cirelli, Joan
Irene Kolator
B: 1921-04-28
D: 2018-01-30
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Kolator, Irene
George Affuso
B: 1934-05-27
D: 2018-01-29
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Affuso, George
Kathie Lasek
B: 1950-09-02
D: 2018-01-28
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Lasek, Kathie
Frank Vindigni
B: 1928-10-03
D: 2018-01-27
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Vindigni, Frank
Walter Recker
B: 1926-10-23
D: 2018-01-26
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Recker, Walter

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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:
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Highest Education Level:
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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Mother's Name:
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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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