Obituaries

Saheena Amari Gustave
B: 2019-03-13
D: 2019-04-17
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Gustave, Saheena Amari
Harold Channan
B: 1955-12-23
D: 2019-04-16
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Channan, Harold
Niahmiah Samsin
B: 1986-03-02
D: 2019-04-12
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Samsin, Niahmiah
Janis Chisholm
B: 1946-11-23
D: 2019-04-08
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Chisholm, Janis
Narinder Singh
B: 1974-04-20
D: 2019-03-29
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Singh, Narinder
Lystra Maniram
B: 1973-03-05
D: 2019-03-26
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Maniram, Lystra
Gomatie Budhram
B: 1943-04-01
D: 2019-03-25
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Budhram, Gomatie
Pauline Jacob
B: 1948-08-15
D: 2019-03-21
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Jacob, Pauline
Gloria Bucknor
B: 1922-06-03
D: 2019-03-19
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Bucknor, Gloria
Arthur Pulliam
B: 1956-12-28
D: 2019-03-19
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Pulliam, Arthur
Maywattie Persaud
B: 1959-05-31
D: 2019-03-18
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Persaud, Maywattie
Romel Singh
B: 1963-02-06
D: 2019-03-07
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Singh, Romel
Gurdial Kaur
B: 1926-07-09
D: 2019-03-05
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Kaur, Gurdial
Rudy Ramroop
B: 1981-11-16
D: 2019-03-05
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Ramroop, Rudy
Drohit Nandan
B: 1971-05-11
D: 2019-03-04
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Nandan, Drohit
Francis Buono
B: 1947-12-20
D: 2019-03-04
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Buono, Francis
Ramjus Jagdeo
B: 1956-10-14
D: 2019-03-02
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Jagdeo, Ramjus
Leola Brewer
B: 1930-12-12
D: 2019-02-28
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Brewer, Leola
Philip Alfonso Alexander
B: 1942-01-22
D: 2019-02-24
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Alexander, Philip Alfonso
John Desmond Boodhoo Singh
B: 1965-06-12
D: 2019-02-21
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Singh, John Desmond Boodhoo
Jose Guitia
B: 1958-07-17
D: 2019-02-19
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Guitia, Jose

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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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