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Information of Deceased:
Title:	RabbiDr.Mr.Mrs.Ms.
First Name:
Middle Name:
Last Name:
Hebrew Name
First Name:
Middle Name:
Ben / Bas (son of / daughter of):
Father’s First and Middle Name:
(if Sephardic descent, Mother’s first and middle name)
KohenLevi
English Date of Passing:
	After Sundown
Hebrew Date of Passing:
Email:
Reminder Type:	YizkorYahrtzeitBoth