Obituaries

Calvin Twells
B: 1946-08-23
D: 2017-10-19
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Twells, Calvin
Helen Ava Seeraj-Seepaul
B: 1971-02-20
D: 2017-10-19
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Seeraj-Seepaul, Helen Ava
Vashkarnan Jairam
B: 1950-06-02
D: 2017-10-18
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Jairam, Vashkarnan
Joell Singh
B: 1968-10-24
D: 2017-10-14
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Singh, Joell
Hardyal Singh
B: 1956-07-02
D: 2017-10-12
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Singh, Hardyal
Rupinderjit Singh
B: 2000-10-08
D: 2017-10-11
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Singh, Rupinderjit
Ram Singh Paul
B: 1932-12-12
D: 2017-10-10
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Paul, Ram Singh
Maurice Gibson
B: 1975-02-20
D: 2017-10-10
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Gibson, Maurice
Gurvinder Singh
B: 1959-10-15
D: 2017-10-08
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Singh, Gurvinder
Shamila Rooplal-Thoral
B: 1974-12-23
D: 2017-10-06
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Rooplal-Thoral, Shamila
Viki Payne
B: 1958-02-15
D: 2017-10-04
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Payne, Viki
Indra Ali
B: 1957-05-20
D: 2017-10-03
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Ali, Indra
Carlos Anderson
B: 1935-04-16
D: 2017-10-03
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Anderson, Carlos
Joseph DeLeon
B: 1944-04-16
D: 2017-10-02
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DeLeon, Joseph
Randhava Nathasingh
B: 1967-03-31
D: 2017-09-24
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Nathasingh, Randhava
Mohinder Singh
B: 1949-04-07
D: 2017-09-24
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Singh, Mohinder
Satwant Kaur
B: 1928-09-07
D: 2017-09-21
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Kaur, Satwant
Shairoon Mohammed
B: 1945-07-11
D: 2017-09-21
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Mohammed, Shairoon
Sitabia Ramdeen
B: 1941-09-18
D: 2017-09-18
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Ramdeen, Sitabia
Gurmeet Kaur
B: 1947-06-05
D: 2017-09-17
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Kaur, Gurmeet
Dorothea DeLoach
B: 1957-03-30
D: 2017-09-15
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DeLoach, Dorothea

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Elcock Funeral Home, Inc. ... Your Faith, Our Home ®
130-02 Liberty Ave.
Queens, NY 11419
Phone: (718) 845-7408
Fax: (718) 845-7477

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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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