Obituaries

Celerino Valencia Carreto
B: 1968-02-03
D: 2020-08-06
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Valencia Carreto, Celerino
Rajkaram Sukhdeo
B: 1951-02-07
D: 2020-08-03
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Sukhdeo, Rajkaram
Hermine Williams
B: 1927-10-15
D: 2020-08-03
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Williams, Hermine
Mohan Singh
B: 1961-04-13
D: 2020-07-28
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Singh, Mohan
Mary Jenkins
B: 1927-09-13
D: 2020-07-24
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Jenkins, Mary
Basil Gowrie
B: 1950-06-14
D: 2020-07-24
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Gowrie, Basil
Hiram Brathwaite
B: 1930-02-18
D: 2020-07-24
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Brathwaite, Hiram
Anne Marie Vincent
B: 1925-12-21
D: 2020-07-22
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Vincent, Anne Marie
Jarnail Singh
B: 1944-01-15
D: 2020-07-21
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Singh, Jarnail
Clairmont M. Carrington
B: 1967-06-14
D: 2020-07-19
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Carrington, Clairmont M.
Aletha Cumberbatch
B: 1958-04-15
D: 2020-07-17
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Cumberbatch, Aletha
Carmen Gloria Colon Rodriguez
B: 1948-01-06
D: 2020-07-17
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Rodriguez, Carmen Gloria Colon
Bernice Norma Deshields
B: 1944-01-18
D: 2020-07-13
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Deshields, Bernice Norma
Mark Scantlebury
B: 1956-02-28
D: 2020-07-07
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Scantlebury, Mark
Cliv Low-A-Chee
B: 1929-08-05
D: 2020-06-26
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Low-A-Chee, Cliv
Katrina Belvin
B: 1950-08-28
D: 2020-06-25
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Belvin, Katrina
Gurbax Kumar
B: 1946-08-08
D: 2020-06-23
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Kumar, Gurbax
Clarice Wills
B: 1918-01-25
D: 2020-06-21
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Wills, Clarice
Ernestio Navarro
B: 1958-11-07
D: 2020-06-20
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Navarro, Ernestio
Bhagpatty Rambharat
B: 1931-09-11
D: 2020-06-16
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Rambharat, Bhagpatty
Christopher O'Rourke
D: 2020-06-14
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O'Rourke, Christopher

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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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