Obituary Information Form

Personal Information

Last Name*:

First Name*:

Middle Name:

Age*:

Professional Title:

Military Rank:

Date of Death*:

Su	Mo	Tu	We	Th	Fr	Sa
26	27	28	29	30	31	1	2	3	4	5	6	7
2	3	4	5	6	7	8	9	10	11	12	13	14
9	10	11	12	13	14	15	16	17	18	19	20	21
16	17	18	19	20	21	22	23	24	25	26	27	28
23	24	25	26	27	28	29	30	1	2	3	4	5
30						6	7	8	9	10	11	12

Place of Death*:

Cause of Death:

Date of Birth*:

Su	Mo	Tu	We	Th	Fr	Sa
26	27	28	29	30	31	1	2	3	4	5	6	7
2	3	4	5	6	7	8	9	10	11	12	13	14
9	10	11	12	13	14	15	16	17	18	19	20	21
16	17	18	19	20	21	22	23	24	25	26	27	28
23	24	25	26	27	28	29	30	1	2	3	4	5
30						6	7	8	9	10	11	12

Birthplace*:

Parent Names*:

Highschool/College:

Graduation Year:

Spouse(s):

Marriage Date(s):

Occupation(s):

Position(s):

Awards:

Accomplishments:

Membership(s):

Date(s):

Volunteer Position(s):

Date(s):

Religious Affiliation:

Church:

Hobbies/Interests:

Survivor(s):

Predeceased by:

Funeral Date & Time*:

Location of Service*:

Cremation/Internment:

Officiant:

Visitation/Service*:

Special Thanks/Requests:

Address for Flowers/Donations

Address:

City:

Country:

State/Province:

Zip/Postal code:

Contact Information*:

Contact Information

142 West Washington Avenue,
Washington, NJ 07882
Phone: (908) 689-0046
Email: knolldevoefh@gmail.com

Christopher Knoll, Manager - Director of Funeral and Cremation Services NJ License No. 4460

Get Directions

Su	Mo	Tu	We	Th	Fr	Sa
						1	2	3	4	5	6	7
2	3	4	5	6	7	8	9	10	11	12	13	14
9	10	11	12	13	14	15	16	17	18	19	20	21
16	17	18	19	20	21	22	23	24	25	26	27	28
23	24	25	26	27	28	29	30
30

Su	Mo	Tu	We	Th	Fr	Sa
						1	2	3	4	5	6	7
2	3	4	5	6	7	8	9	10	11	12	13	14
9	10	11	12	13	14	15	16	17	18	19	20	21
16	17	18	19	20	21	22	23	24	25	26	27	28
23	24	25	26	27	28	29	30
30

Su	Mo	Tu	We	Th	Fr	Sa
						1	2	3	4	5	6	7
2	3	4	5	6	7	8	9	10	11	12	13	14
9	10	11	12	13	14	15	16	17	18	19	20	21
16	17	18	19	20	21	22	23	24	25	26	27	28
23	24	25	26	27	28	29	30
30

Su	Mo	Tu	We	Th	Fr	Sa
						1	2	3	4	5	6	7
2	3	4	5	6	7	8	9	10	11	12	13	14
9	10	11	12	13	14	15	16	17	18	19	20	21
16	17	18	19	20	21	22	23	24	25	26	27	28
23	24	25	26	27	28	29	30
30

Su	Mo	Tu	We	Th	Fr	Sa
						1	2	3	4	5	6	7
2	3	4	5	6	7	8	9	10	11	12	13	14
9	10	11	12	13	14	15	16	17	18	19	20	21
16	17	18	19	20	21	22	23	24	25	26	27	28
23	24	25	26	27	28	29	30
30

Su	Mo	Tu	We	Th	Fr	Sa
						1	2	3	4	5	6	7
2	3	4	5	6	7	8	9	10	11	12	13	14
9	10	11	12	13	14	15	16	17	18	19	20	21
16	17	18	19	20	21	22	23	24	25	26	27	28
23	24	25	26	27	28	29	30
30