Obituaries

James Gifford
B: 1971-02-24
D: 2017-05-21
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Gifford, James
Timothy McDonnell
B: 1943-03-01
D: 2017-05-15
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McDonnell, Timothy
Brunhilde Aumueller
B: 1935-06-25
D: 2017-05-14
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Aumueller, Brunhilde
Brandon Knauss
B: 1993-02-28
D: 2017-05-12
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Knauss, Brandon
Alyce Abney
B: 1948-06-09
D: 2017-05-07
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Abney, Alyce
Sidney Potts
B: 1932-04-25
D: 2017-05-04
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Potts, Sidney
Lyle Keehner
B: 1939-01-01
D: 2017-04-25
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Keehner, Lyle
Bonita Sams
B: 1941-07-06
D: 2017-04-25
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Sams, Bonita
Leslie Venzke
B: 1961-10-08
D: 2017-04-24
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Venzke, Leslie
Ralph Jubb Jr.
B: 1921-12-27
D: 2017-04-22
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Jubb Jr., Ralph
Ardis Hood
B: 1928-12-31
D: 2017-04-18
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Hood, Ardis
Myrtle Anderson
B: 1924-06-25
D: 2017-04-15
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Anderson, Myrtle
Greta Gerhardt
B: 1926-03-30
D: 2017-04-13
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Gerhardt, Greta
Douglas Richardson
B: 1935-12-08
D: 2017-04-13
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Richardson, Douglas
William Keys
B: 1924-07-23
D: 2017-04-12
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Keys, William
John Heft
B: 1925-01-20
D: 2017-04-12
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Heft, John
L. Jean Kahr
B: 1925-01-20
D: 2017-04-12
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Kahr, L. Jean
Patricia Porter
B: 1917-10-03
D: 2017-04-11
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Porter, Patricia
Ila Phillips
B: 1922-07-14
D: 2017-04-03
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Phillips, Ila
Donna Gannon
B: 1936-10-18
D: 2017-03-30
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Gannon, Donna
Ross Johnson
B: 1966-06-03
D: 2017-03-27
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Johnson, Ross

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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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