Obituaries

Edgar Pomeroy
B: 1918-03-10
D: 2017-06-22
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Pomeroy, Edgar
Ryan Zink
B: 1978-03-21
D: 2017-06-18
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Zink, Ryan
John De Jong
B: 1942-12-25
D: 2017-06-16
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De Jong, John
Leonardo Aguirre
B: 2017-06-12
D: 2017-06-12
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Aguirre, Leonardo
Jose Ferndandez
B: 1934-09-01
D: 2017-06-11
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Ferndandez, Jose
Marguerite Sweetin
B: 1934-04-02
D: 2017-06-10
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Sweetin, Marguerite
Jackie McElravy
B: 1928-04-29
D: 2017-06-09
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McElravy, Jackie
Everett Stovall
B: 1933-07-14
D: 2017-06-06
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Stovall, Everett
Catarina Gonzalez Leon
B: 1927-11-26
D: 2017-06-01
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Gonzalez Leon, Catarina
Marie Adams
B: 1938-07-28
D: 2017-05-26
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Adams, Marie
Alice Guffey
B: 1931-03-16
D: 2017-05-21
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Guffey, Alice
Jimmy Simons
B: 1936-03-07
D: 2017-05-11
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Simons, Jimmy
Tami Lockwood
B: 1945-04-14
D: 2017-05-10
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Lockwood, Tami
Orville VanLaningham
B: 1926-06-02
D: 2017-05-03
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VanLaningham, Orville
Timothy Lilly
B: 1975-02-01
D: 2017-05-03
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Lilly, Timothy
Barbara Jean "BJ" Finley-Branch
B: 1948-04-11
D: 2017-05-03
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Finley-Branch, Barbara Jean "BJ"
Barbara Severance
B: 1932-05-06
D: 2017-05-02
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Severance, Barbara
Edward Johnson
B: 1968-07-01
D: 2017-04-28
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Johnson, Edward
Kenneth Harris
B: 1942-06-02
D: 2017-04-22
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Harris, Kenneth
Norma Paro
B: 1920-10-06
D: 2017-04-22
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Paro, Norma
Roberto Diaz Rubio
B: 1954-05-13
D: 2017-04-20
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Diaz Rubio, Roberto

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410 Monmouth St.
Independence, OR 97351
Phone: (503) 838-1414
Fax: (503) 838-6165

Immediate Need

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

To report a death to Farnstrom Mortuary, please notify us first by phone at (503) 838-1414.

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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