Obituaries

Carolyn Barth
B: 1947-03-25
D: 2017-11-12
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Barth, Carolyn
Kirk Doughton
B: 1962-05-23
D: 2017-11-12
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Doughton, Kirk
Marjorie Garman
B: 1921-06-27
D: 2017-11-08
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Garman, Marjorie
Sherry Rodke
B: 1948-09-29
D: 2017-11-06
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Rodke, Sherry
Shirlie Ness
B: 1930-06-29
D: 2017-11-06
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Ness, Shirlie
Victor Garcia
B: 1936-04-12
D: 2017-11-05
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Garcia, Victor
Sandra Lewis
B: 1939-08-11
D: 2017-10-29
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Lewis, Sandra
Sharon Bolen
B: 1941-10-13
D: 2017-10-28
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Bolen, Sharon
Gerald Christiansen
B: 1939-09-17
D: 2017-10-26
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Christiansen, Gerald
Phyllis Russell
B: 1934-01-13
D: 2017-10-25
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Russell, Phyllis
Michael Walton
B: 1951-07-27
D: 2017-10-24
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Walton, Michael
Jean Miller
B: 1929-02-12
D: 2017-10-22
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Miller, Jean
Nadezhda Vityukov
B: 1949-10-05
D: 2017-10-19
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Vityukov, Nadezhda
Linda Jones
B: 1949-05-25
D: 2017-10-15
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Jones, Linda
Margaret Wensley
B: 1928-12-24
D: 2017-10-12
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Wensley, Margaret
Nick (Richard) Jones
B: 1944-11-16
D: 2017-10-12
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Jones, Nick (Richard)
Nancy Conn
B: 1946-04-10
D: 2017-10-10
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Conn, Nancy
Nancy Schafer
B: 1949-05-03
D: 2017-10-10
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Schafer, Nancy
(Crowell) Kim Hyatt
B: 1933-05-25
D: 2017-10-05
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Hyatt, (Crowell) Kim
Ronald Shill
B: 1943-05-02
D: 2017-10-04
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Shill, Ronald
Lynda Buchanon
B: 1932-09-15
D: 2017-10-02
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Buchanon, Lynda

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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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