Obituaries

Raj Arjoon Geral
B: 1958-10-30
D: 2018-05-06
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Geral, Raj Arjoon
Esther M. Kyte
B: 1949-06-15
D: 2018-05-06
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Kyte, Esther M.
Christine Persaud
B: 1967-11-28
D: 2018-05-04
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Persaud, Christine
Shamrattie Ibrahim
B: 1931-11-16
D: 2018-05-03
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Ibrahim, Shamrattie
Balbir Singh
B: 1960-03-26
D: 2018-04-24
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Singh, Balbir
Malicia Pabarroo
B: 1985-12-18
D: 2018-04-13
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Pabarroo, Malicia
Roopnarine Ramnarace
B: 1986-07-16
D: 2018-04-13
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Ramnarace, Roopnarine
Suneeta Ramdeen
B: 1967-09-19
D: 2018-04-09
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Ramdeen, Suneeta
Joyce Davis
B: 1945-02-11
D: 2018-04-06
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Davis, Joyce
Joginder Kaur
B: 1947-05-13
D: 2018-04-04
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Kaur, Joginder
Nasib Singh
B: 1951-03-07
D: 2018-04-04
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Singh, Nasib
Klimilda Muhammad
B: 1939-06-06
D: 2018-04-03
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Muhammad, Klimilda
Malwinderjit Singh
B: 1935-08-21
D: 2018-03-28
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Singh, Malwinderjit
Bibi Govinda
B: 1938-01-07
D: 2018-03-26
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Govinda, Bibi
Manmohan Kaur
B: 1939-10-21
D: 2018-03-24
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Kaur, Manmohan
Ian Stevenson
B: 1978-04-29
D: 2018-03-20
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Stevenson, Ian
Parvinder Kumar
B: 1961-11-12
D: 2018-03-16
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Kumar, Parvinder
Lynette Richards
B: 1946-02-16
D: 2018-03-13
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Richards, Lynette
Vindra Maniram
B: 1972-02-04
D: 2018-03-12
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Maniram, Vindra
Ramdeo Sukhu
B: 1953-01-08
D: 2018-03-06
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Sukhu, Ramdeo
Ghanesh Dowlatram
B: 1966-09-09
D: 2018-03-06
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Dowlatram, Ghanesh

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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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