Secretary Andrew Cuomo (Example)
Salutes
the fallen heroes of families
at the
Department of Housing and Urban Development



Include the following data in the Roll Call of Remembrance:

Name of Employee (Your Name):

Name of Fallen Hero (Your loved one):

Your Relation to Fallen Hero:

Date of Death:

Place of Death (if known):


War_______


Conflict______


Other______

 


Branch of service or other (foreign service):



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