Obituaries

Tarlok Singh
B: 1946-06-15
D: 2018-10-20
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Singh, Tarlok
Ladell Davidson
B: 1925-10-23
D: 2018-10-16
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Davidson, Ladell
Kawaljit S. Multani
B: 1985-10-22
D: 2018-10-11
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Multani, Kawaljit S.
Harbhajan Kaur
B: 1936-05-14
D: 2018-10-09
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Kaur, Harbhajan
Francis N. Payne
B: 1944-12-27
D: 2018-10-08
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Payne, Francis N.
Joginder Singh
B: 1940-08-08
D: 2018-10-07
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Singh, Joginder
Janan Bahaw
B: 1954-11-20
D: 2018-10-04
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Bahaw, Janan
Kuldeep Gill
B: 1950-06-26
D: 2018-10-04
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Gill, Kuldeep
Verna Watson
B: 1954-08-11
D: 2018-09-30
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Watson, Verna
Raj Krishna Boodhoo
D: 2018-09-30
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Boodhoo, Raj Krishna
Ingrid Virginia Hamilton
B: 1949-01-04
D: 2018-09-29
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Hamilton, Ingrid Virginia
Balwinder Singh Sahi
B: 1942-07-13
D: 2018-09-28
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Sahi, Balwinder Singh
Rosalia Barnett-Prince
B: 1946-02-10
D: 2018-09-28
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Barnett-Prince, Rosalia
Cecil Maurice Edwards
B: 1937-12-12
D: 2018-09-27
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Edwards, Cecil Maurice
Darren Lee Miller
B: 1960-09-21
D: 2018-09-27
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Miller, Darren Lee
Anthony Winfield
B: 1953-11-25
D: 2018-09-18
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Winfield, Anthony
Gurnam Singh
B: 1944-02-02
D: 2018-09-17
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Singh, Gurnam
Hilary Lees
B: 1955-07-07
D: 2018-09-15
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Lees, Hilary
Richard Anthony Manriquez
B: 1962-07-26
D: 2018-09-11
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Manriquez, Richard Anthony
Pritam Kaur
B: 1930-05-07
D: 2018-09-01
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Kaur, Pritam
Puran Harrichan
B: 1966-05-29
D: 2018-08-31
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Harrichan, Puran

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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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