Obituaries

Jennie Coppolino
D: 2018-05-20
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Coppolino, Jennie
Phyllis Capitola
B: 1936-05-18
D: 2018-05-18
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Capitola, Phyllis
Herbert Ocks
B: 1928-09-14
D: 2018-05-17
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Ocks, Herbert
Richard Hinkie
B: 1981-05-04
D: 2018-05-12
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Hinkie, Richard
Beverly Coccia
B: 1958-03-12
D: 2018-05-07
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Coccia, Beverly
Lucia Marano
B: 1925-05-04
D: 2018-04-29
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Marano, Lucia
Francine Baiocco
B: 1934-04-02
D: 2018-04-26
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Baiocco, Francine
Michael Saggio
B: 1963-01-27
D: 2018-04-24
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Saggio, Michael
Dolores Castellucci
B: 1936-08-12
D: 2018-04-22
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Castellucci, Dolores
Joan Montgomery
D: 2018-04-19
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Montgomery, Joan
Mario Nicolo
B: 1924-04-17
D: 2018-04-18
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Nicolo, Mario
Robert Wells
B: 1960-01-30
D: 2018-04-12
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Wells, Robert
Elmara Nicolucci
B: 1931-09-19
D: 2018-04-09
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Nicolucci, Elmara
Antoinette Iavarone
B: 1924-06-13
D: 2018-04-08
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Iavarone, Antoinette
Laura Donoflio
B: 1956-02-15
D: 2018-04-01
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Donoflio, Laura
Gildo Martino
B: 1925-12-05
D: 2018-03-23
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Martino, Gildo
Regina & Joseph T. Cavallero
D: 2018-03-22
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Cavallero, Regina & Joseph T.
Daniel Ferrazzano
B: 1959-03-31
D: 2018-03-20
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Ferrazzano, Daniel
Rita Stella
B: 1922-02-22
D: 2018-03-18
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Stella, Rita
Domenic Di Tizio
B: 1947-06-12
D: 2018-03-08
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Di Tizio, Domenic
Jose Vivas
B: 1952-08-13
D: 2018-03-06
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Vivas, Jose

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Philadelphia, PA 19145
Phone: 215-467-3838
Fax: 215-551-4247

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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:

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