Obituaries

Janice Levine
B: 1945-03-10
D: 2017-10-15
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Levine, Janice
Annabelle Meizel
B: 1918-07-23
D: 2017-10-14
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Meizel, Annabelle
Miriam Rubin
B: 1929-12-24
D: 2017-10-08
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Rubin, Miriam
Asya Bryklina
B: 1914-03-21
D: 2017-10-07
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Bryklina, Asya
Daniel Leventhal
B: 1960-06-16
D: 2017-10-05
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Leventhal, Daniel
David Epstein
B: 1932-01-28
D: 2017-09-21
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Epstein, David
Arthur Finger
B: 1926-11-07
D: 2017-09-20
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Finger, Arthur
Marion Tokson
B: 1926-04-08
D: 2017-09-18
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Tokson, Marion
Leo Seligsohn
B: 1926-07-16
D: 2017-09-18
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Seligsohn, Leo
Armin Blaine
B: 1923-02-16
D: 2017-09-18
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Blaine, Armin
Ruth Ruskin
B: 1936-09-12
D: 2017-09-15
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Ruskin, Ruth
Joseph Gifford
B: 1920-05-14
D: 2017-09-12
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Gifford, Joseph
Norman Rosenfield
B: 1921-05-20
D: 2017-09-10
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Rosenfield, Norman
Allen Mogel
B: 1935-02-13
D: 2017-09-09
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Mogel, Allen
Barbara Aghassi
B: 1934-09-07
D: 2017-09-01
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Aghassi, Barbara
Sumner Katz
B: 1930-05-13
D: 2017-08-29
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Katz, Sumner
Vil Stokolov
B: 1926-08-04
D: 2017-08-27
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Stokolov, Vil
Stephen Gorewitz
B: 1949-05-14
D: 2017-08-24
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Gorewitz, Stephen
Arlene Kahan
B: 1937-01-06
D: 2017-08-24
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Kahan, Arlene
Pearl Suckney
B: 1914-06-11
D: 2017-08-22
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Suckney, Pearl
Aimee Bunin
B: 1952-03-24
D: 2017-08-22
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Bunin, Aimee

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

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Online At-Need Funeral Planning

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