Obituaries

Mario Ortiz
B: 1934-04-02
D: 2017-11-19
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Ortiz, Mario
Jeffrey Magana
B: 1995-12-30
D: 2017-11-14
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Magana, Jeffrey
Donna Hedinger
B: 1937-05-13
D: 2017-10-27
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Hedinger, Donna
Roy Roberts
B: 1949-05-30
D: 2017-10-26
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Roberts, Roy
Donald Weinmann
B: 1954-09-24
D: 2017-10-23
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Weinmann, Donald
Barbara Searls
B: 1935-03-15
D: 2017-10-22
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Searls, Barbara
Maria Mays
B: 1915-09-03
D: 2017-10-19
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Mays, Maria
Steven Rousslang
B: 1954-10-26
D: 2017-10-19
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Rousslang, Steven
Alta Ocker
B: 1925-01-11
D: 2017-10-16
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Ocker, Alta
Karin Drury
B: 1958-04-22
D: 2017-10-14
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Drury, Karin
James Wales
B: 1945-10-24
D: 2017-10-13
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Wales, James
Elsie "Frieda" Bornemeier
B: 1922-12-23
D: 2017-10-13
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Bornemeier, Elsie "Frieda"
Carol Otis
B: 1939-02-13
D: 2017-10-09
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Otis, Carol
Jason Adams
B: 1973-08-23
D: 2017-10-02
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Adams, Jason
Michael Oas
B: 1951-03-31
D: 2017-10-02
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Oas, Michael
Patricia Walker
B: 1938-11-08
D: 2017-09-22
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Walker, Patricia
Laurine Larrison
B: 1925-03-06
D: 2017-09-11
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Larrison, Laurine
Amyrose Shuey
B: 1926-11-13
D: 2017-09-09
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Shuey, Amyrose
Nadine Martell
B: 1924-07-05
D: 2017-08-29
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Martell, Nadine
Timothy Nevin
D: 2017-08-27
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Nevin, Timothy
Evan Engelgau
B: 1981-05-29
D: 2017-08-13
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Engelgau, Evan

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1925 SE Scott Street
Milwaukie, OR 97222
Phone: (503) 654-7755
Fax: (503) 654-8530

Immediate Need

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

To report a death to Peake Funeral Chapel, please notify us first by phone at (503) 654-7755.

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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