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Our convienient location in New York allows us to provide shipping and
receiving services to Funeral Directors and families from around the
country. Joe Smolenski, President of New York Metro Funeral Service, makes the following promise:
Complete (within N.Y. Metro main service area) - Removal, embalming, prepared for shipping, burial permit and death certificate delivered to LaGuardia Airport (LGA). Copies of certified death certificate:
Director on duty for immediate service 24 hours per day. |
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| Name of person completing form: | ||||
| E-mail: | ||||
| Name of Funeral Home: | ||||
| Funeral Home Address: | ||||
| City/Town/Village: | ||||
| State: | Zip/Postal Code: | |||
| Funeral Of: | ||||
| Address: | ||||
| Telephone: | ||||
| Date of Death: | ||||
| Place of Death: | ||||
| City/Town/Village: | ||||
| Age: | Birthdate: | |||
| Sex: | Marital Status: | |||
| Services At: | ||||
| Services On: | ||||
| Interment At: | ||||
| Interment On: | ||||
| Armed Forces: | Years From: 19 To 19 | |||
| Education: | ||||
| Social Security #: | ||||
| Informant: | ||||
| Telephone: | ||||
| Relationship: | ||||
| Address: | ||||
| Birthplace: | ||||
| Spouse Alive: | ||||
| Spouse's Name: | ||||
| Maiden Name: | ||||
| Deceased Occupation: | ||||
| Father's Name: | ||||
| Mother's Maiden Name: | ||||
| Cemetery Info: | ||||
| Special Instructions: | ||||
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We will confirm this order immediately through e-mail.
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