Obituaries

Toorah Mahabir
B: 1954-06-15
D: 2020-03-29
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Mahabir, Toorah
Dhan Kaur
B: 1934-06-01
D: 2020-03-29
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Kaur, Dhan
Dharshan Sookdeo
B: 1967-01-09
D: 2020-03-28
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Sookdeo, Dharshan
Karnail Singh
D: 2020-03-28
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Singh, Karnail
Richard Seaberry
B: 1956-06-03
D: 2020-03-26
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Seaberry, Richard
Gurcharan Singh Gujjar
B: 1941-06-02
D: 2020-03-26
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Gujjar, Gurcharan Singh
Paulette Waldron
B: 1936-01-08
D: 2020-03-25
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Waldron, Paulette
Kenrick Ragbir
B: 1953-10-16
D: 2020-03-25
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Ragbir, Kenrick
Mohinder Kaur
D: 2020-03-24
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Kaur, Mohinder
Nelson Cole
B: 1938-04-06
D: 2020-03-22
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Cole, Nelson
Dyanan Jaikaran
B: 1962-12-03
D: 2020-03-17
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Jaikaran, Dyanan
Sumitra Devi
B: 1941-08-20
D: 2020-03-17
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Devi, Sumitra
Norma M. Brathwaite
B: 1934-05-01
D: 2020-03-11
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Brathwaite, Norma M.
Gurvinder Singh
B: 1966-03-24
D: 2020-03-11
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Singh, Gurvinder
Gurpreet Singh
B: 1989-11-10
D: 2020-03-10
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Singh, Gurpreet
Gurbax Singh
B: 1934-05-20
D: 2020-03-09
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Singh, Gurbax
Samantha Negron
B: 1970-04-28
D: 2020-03-09
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Negron, Samantha
Boman Persaud
B: 1947-06-19
D: 2020-03-02
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Persaud, Boman
Gurdev Singh
B: 1978-12-01
D: 2020-03-01
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Singh, Gurdev
Margaret Boyce
B: 1943-08-30
D: 2020-02-24
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Boyce, Margaret
Madeline White
B: 1940-06-18
D: 2020-02-24
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White, Madeline

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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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