Obituaries

Estelle Lynn
B: 1927-02-05
D: 2017-05-21
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Lynn, Estelle
Casey Taylor
B: 1992-04-15
D: 2017-05-17
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Taylor, Casey
Kathleen Byrd
B: 1948-01-22
D: 2017-05-13
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Byrd, Kathleen
Ann Barnea
B: 1938-05-21
D: 2017-05-01
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Barnea, Ann
Larry Jurgensmeier
B: 1943-11-15
D: 2017-05-01
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Jurgensmeier, Larry
Lillian Black
B: 1932-06-10
D: 2017-04-30
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Black, Lillian
Arden & Ruth Packer
B: 1935-08-30
D: 2017-04-29
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Packer, Arden & Ruth
Aneta Craig
B: 1922-06-27
D: 2017-04-23
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Craig, Aneta
Dr. Dale Parnell
B: 1928-07-16
D: 2017-04-20
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Parnell, Dr. Dale
Yevdokiya Kazakevich
B: 1928-08-01
D: 2017-04-14
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Kazakevich, Yevdokiya
Donald Hendrickson
B: 1927-07-25
D: 2017-04-13
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Hendrickson, Donald
Kay Horstman
B: 1936-11-20
D: 2017-04-13
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Horstman, Kay
Gregory Dunlevy
B: 1952-01-22
D: 2017-04-12
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Dunlevy, Gregory
Wesley Schuettpelz
B: 1925-06-21
D: 2017-04-06
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Schuettpelz, Wesley
George Cramer
B: 1940-09-10
D: 2017-04-01
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Cramer, George
Ida Mae Epps
B: 1926-10-05
D: 2017-03-21
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Epps, Ida Mae
Beverly Rosecrans
B: 1930-07-05
D: 2017-03-20
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Rosecrans, Beverly
James Sorahan
B: 1950-04-17
D: 2017-03-20
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Sorahan, James
Helen Leslie
B: 1934-06-23
D: 2017-03-15
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Leslie, Helen
Michael Tipton
B: 1953-10-03
D: 2017-03-13
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Tipton, Michael
Jimmy Miguez
B: 1944-04-11
D: 2017-03-10
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Miguez, Jimmy

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201 Oak Grove Road N.W.
Salem, OR 97304
Phone: (503) 585-1373
Fax: (503) 585-4443

Immediate Need

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

To report a death to Restlawn Funeral Home, please notify us first by phone at (503) 585-1373.

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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