Obituaries

Raymond Brandon
B: 1962-07-06
D: 2020-04-25
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Brandon, Raymond
Sirtajie Ferrier
B: 1938-06-02
D: 2020-04-21
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Ferrier, Sirtajie
Nicholas Nelson
B: 1941-10-22
D: 2020-04-15
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Nelson, Nicholas
Richard Johnson
B: 1963-03-16
D: 2020-04-12
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Johnson, Richard
Bernel Hadassah Connelly
B: 1931-05-26
D: 2020-04-07
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Connelly, Bernel Hadassah
Parasnauth Persaud
B: 1949-01-19
D: 2020-04-06
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Persaud, Parasnauth
Andrew Dataram
B: 1961-02-22
D: 2020-04-06
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Dataram, Andrew
Lutchmie Seetaram Singh
B: 1950-01-26
D: 2020-04-05
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Singh, Lutchmie Seetaram
Narinjan Singh Multani
B: 1940-04-14
D: 2020-04-05
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Multani, Narinjan Singh
Johnny Austin
B: 1961-05-20
D: 2020-04-04
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Austin, Johnny
Compton Sertima
B: 1935-08-18
D: 2020-04-04
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Sertima, Compton
Zorida Khan
B: 1941-05-11
D: 2020-04-03
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Khan, Zorida
Daljit Kaur
B: 1954-01-10
D: 2020-04-03
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Kaur, Daljit
Kamini Gaj
B: 1961-05-24
D: 2020-03-31
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Gaj, Kamini
Sandeep Kaur
B: 1985-12-08
D: 2020-03-31
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Kaur, Sandeep
Jamilun Khan
B: 1948-10-29
D: 2020-03-30
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Khan, Jamilun
Bakhshish Singh
B: 1938-05-15
D: 2020-03-30
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Singh, Bakhshish
Preet Multani
B: 1966-01-01
D: 2020-03-30
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Multani, Preet
Jorge Zamora Recinos
B: 1979-06-21
D: 2020-03-30
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Zamora Recinos, Jorge
Dularie Deosarran
B: 1944-03-24
D: 2020-03-30
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Deosarran, Dularie
Toorah Mahabir
B: 1954-06-15
D: 2020-03-29
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Mahabir, Toorah

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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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