Obituaries
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241 South Canyon Blvd.
John Day, OR 97845
(541) 575-0529
Obituaries
Funeral Services
Resources
Plant Memorial Trees
Send Flowers
Payment Center
Memorial Monuments
Pre-Plan Form
About Us
Contact Us
Obituary Form
Please fill out this form and hit submit.
Obituary Form
Date
S.S.#
Education
Name of Deceased
Age
Address
Date of Birth
Place of Birth
Day of Death
Place of Death
Father Name
Mother Name
Occupation
Church/Organizations
Veteran
Spouse (Maiden)
Preceded in Death By
Survivors: Son(s) Address
Daughter(s) Address
Brother(s) Address
Sister(s) Address
G-Kids
GG-Kids
GGG-Kids
Service Time
Service Date
Day
Place
Minister
Place of Burial
Visitation
Pallbearers
Additional Info
Death Certificates Needed
Vault
Yes
No
Family Physician
Informant Name
Street Address
City
State
Zip Code
Informant Phone Number
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