Obituaries

Myron Peck
B: 1938-01-21
D: 2017-08-20
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Peck, Myron
Ronald Miller
B: 1937-08-16
D: 2017-08-19
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Miller, Ronald
Mini Friedman
B: 1914-07-07
D: 2017-08-18
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Friedman, Mini
Stephen Forman
B: 1953-09-30
D: 2017-08-12
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Forman, Stephen
Alice Kunin
B: 1920-09-26
D: 2017-08-10
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Kunin, Alice
Edward Darella
B: 1932-12-14
D: 2017-08-08
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Darella, Edward
Sima Ruderman
B: 1924-11-19
D: 2017-08-08
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Ruderman, Sima
Enid Schwab
B: 1952-11-11
D: 2017-08-08
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Schwab, Enid
Sylvia Konner
B: 1919-10-06
D: 2017-08-03
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Konner, Sylvia
Milton Weisberg
B: 1925-06-19
D: 2017-08-02
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Weisberg, Milton
David Warren
B: 1917-05-26
D: 2017-07-31
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Warren, David
Lily Flaster
B: 1922-05-26
D: 2017-07-29
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Flaster, Lily
Merrick Bertch
B: 1959-12-06
D: 2017-07-18
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Bertch, Merrick
Elmer Gilbertson
B: 1925-03-28
D: 2017-07-15
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Gilbertson, Elmer
Rela Hammerman
B: 1936-12-25
D: 2017-07-08
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Hammerman, Rela
William Freeman
B: 1941-07-22
D: 2017-06-28
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Freeman, William
Calvin Zimmer
B: 1928-02-20
D: 2017-06-23
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Zimmer, Calvin
Ruth Heller
B: 1921-08-12
D: 2017-06-22
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Heller, Ruth
Irwin Schainuck
B: 1937-07-17
D: 2017-06-15
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Schainuck, Irwin
Bruce Lund
B: 1946-03-02
D: 2017-06-13
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Lund, Bruce
Benedict Saladino
B: 1929-08-19
D: 2017-06-06
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Saladino, Benedict

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202 E. Boynton Beach Blvd.
Boynton Beach, FL 33435
Phone: 561-737-0001
Fax: 561-737-0550

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Weiss Memorial Chapel, please notify us first by phone at 561-737-0001.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
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/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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