Obituaries

Everett Wicker
B: 1941-05-10
D: 2017-09-15
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Wicker, Everett
Lucretia Dyck
B: 1920-09-10
D: 2017-09-05
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Dyck, Lucretia
Frank Murphy
B: 1936-01-31
D: 2017-09-04
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Murphy, Frank
Audrey Shockey
B: 1930-10-10
D: 2017-09-02
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Shockey, Audrey
Evangeline Sherbahn
B: 1927-01-23
D: 2017-08-29
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Sherbahn, Evangeline
Alice Mohr
B: 1923-05-29
D: 2017-08-26
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Mohr, Alice
Mario Garcia
B: 1970-08-31
D: 2017-07-28
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Garcia , Mario
Elsie Sharp
B: 1915-07-21
D: 2017-07-20
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Sharp, Elsie
Clyde Murphy
B: 1942-12-25
D: 2017-07-04
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Murphy, Clyde
Bruce Moore
B: 1942-01-18
D: 2017-06-29
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Moore, Bruce
Donald Snyder
B: 1957-01-03
D: 2017-06-23
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Snyder, Donald
Zelpha Strange
B: 1922-01-13
D: 2017-06-04
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Strange, Zelpha
Judy Metz-Bridges
B: 1956-06-08
D: 2017-06-04
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Metz-Bridges, Judy
Sharon Wilson
B: 1946-10-24
D: 2017-05-30
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Wilson, Sharon
Gordon Mudrow
B: 1936-03-17
D: 2017-05-22
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Mudrow, Gordon
Robert Smith
B: 1925-08-17
D: 2017-05-19
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Smith, Robert
Eva Norris
B: 1932-08-02
D: 2017-05-13
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Norris, Eva
Francis Conti
B: 1949-02-26
D: 2017-05-06
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Conti, Francis
Donna Reed
B: 1941-06-16
D: 2017-05-01
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Reed, Donna
Cheryle Collier
B: 1962-08-31
D: 2017-04-30
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Collier, Cheryle
Agnes Allen
B: 1937-04-25
D: 2017-03-17
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Allen, Agnes

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311 E. Central Avenue
Sutherlin, OR 97479
Phone: (541) 459-2281
Fax: (541) 459-9136

Immediate Need

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

To report a death to Sutherlin Chapel of the Roses, please notify us first by phone at (541) 459-2281.

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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