Obituaries

Sherwin Finn
B: 1931-10-04
D: 2017-04-18
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Finn, Sherwin
HENRIETTA KITAEFF-BUCKNER
B: 1925-01-04
D: 2017-04-18
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KITAEFF-BUCKNER, HENRIETTA
Anne Strauss
B: 1916-11-10
D: 2017-04-17
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Strauss, Anne
Leonard Krasker
B: 1932-01-29
D: 2017-04-14
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Krasker, Leonard
Estelle Rosenthal
B: 1923-12-28
D: 2017-04-14
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Rosenthal, Estelle
Jeffrey Smith
B: 1962-11-19
D: 2017-04-13
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Smith, Jeffrey
Albert Starr
B: 1921-08-17
D: 2017-04-13
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Starr, Albert
Naomi Sandler
B: 1912-04-01
D: 2017-04-07
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Sandler, Naomi
Bernard Yessin
B: 1920-01-31
D: 2017-04-06
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Yessin, Bernard
Bronislava Bilak
B: 1925-12-05
D: 2017-04-05
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Bilak, Bronislava
Alan Rosenoff
B: 1934-12-27
D: 2017-04-03
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Rosenoff, Alan
Lela Krigman
B: 1933-01-07
D: 2017-04-01
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Krigman, Lela
Ellen Covitz-Rubenstein
B: 1946-08-22
D: 2017-03-25
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Covitz-Rubenstein, Ellen
Hilda Ozuransky
B: 1914-01-02
D: 2017-03-13
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Ozuransky, Hilda
Betty Danis
B: 1933-05-05
D: 2017-03-05
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Danis, Betty
Deborah Couris
B: 1936-07-13
D: 2017-02-27
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Couris, Deborah
Gerald Freedman
B: 1940-12-23
D: 2017-02-27
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Freedman, Gerald
Bella Smith
B: 1933-07-07
D: 2017-02-22
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Smith, Bella
Helen Reinherz
B: 1923-08-04
D: 2017-02-19
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Reinherz, Helen
Marshall Zidel
B: 1946-05-16
D: 2017-02-17
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Zidel, Marshall
Jack Zimmerman
B: 1932-10-14
D: 2017-02-15
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Zimmerman, Jack

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174 Ferry St.
Malden, MA 02148
Phone: 781-324-1122
Fax: 781-324-7553

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As a Jewish Funeral Chapel we understand the importance of timing when planning a funeral service. However, completing important vital records are necessary in moving forward with any arrangements. By completing as much of our At-Need Planning Form below will assist in this process.

I. Biographical Information

Full Name:
Legal Address:
City/Town:
State:
Zip Code:
Phone:
Informant Name:
Informant Address:
Informant City/Town:
Informant State:
Informant Zip:
Home Phone:
Cell Phone:
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Education Level Achieved:

No Diploma -HS Diploma -Some College but No Degree -           Associate's - Bachelor's -Master's -Doctorate

Social Security #:
Residence History:
Father's Name:
Father's Birthplace:
Mother's Name:
Mother's Birthplace:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivor's Names:
Predeceased Relatives:
Occupation:
Business Type:
Company Name:
Temple Membership:
Hebrew Name (w/Parents):
         

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

Service At: Chapel Temple Graveside None
Officiating Clergy:
Casket at Service: Closed Open Privately Before Open to Public
Pallbearers:
Charity Organization(s)
Flower Preference(s)
Clothing: Own Muslin Shroud Israeli Linen Shroud
Talis: Own Ours None
Casket Preference:
Disposition:
Outer Burial Container:
Cemetery Name:
Cemetery Location:
Name of Cemetery Owner:
Have We Served You Before:

No Yes (if so, please complete below) 

 Name & Date of Death

         

Miscellaneous Notes and Instructions:

             

Please select one of the options below:

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Please place my information on file