Obituaries

Ruth Jarvis
B: 1922-07-06
D: 2017-11-17
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Jarvis, Ruth
Glenn Smith
B: 1925-01-24
D: 2017-11-12
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Smith, Glenn
Willard (Bill) Fike
B: 1928-04-10
D: 2017-11-08
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Fike, Willard (Bill)
Jimette Berg
B: 1937-09-30
D: 2017-11-04
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Berg, Jimette
Bill Waits
B: 1934-10-28
D: 2017-10-29
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Waits, Bill
Arthur Campbell
B: 1932-06-29
D: 2017-10-28
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Campbell, Arthur
Margaret Phillips
B: 1924-09-26
D: 2017-10-27
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Phillips, Margaret
David Meissner
B: 1947-01-24
D: 2017-10-20
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Meissner, David
Eva Sturm
B: 1935-02-18
D: 2017-10-19
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Sturm, Eva
George Gilliam
B: 1935-09-12
D: 2017-10-15
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Gilliam, George
Victor Lantis
B: 1926-07-09
D: 2017-10-11
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Lantis, Victor
Joe Strickling
B: 1931-04-26
D: 2017-10-05
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Strickling, Joe
Alvin Kelm
B: 1938-10-31
D: 2017-09-25
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Kelm, Alvin
George Ebert
B: 1929-12-27
D: 2017-09-20
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Ebert, George
Carol Wagner
B: 1942-10-13
D: 2017-09-20
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Wagner, Carol
Roger Bloomquist
B: 1953-11-25
D: 2017-09-17
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Bloomquist, Roger
Beatrice Clark
B: 1926-01-13
D: 2017-09-13
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Clark, Beatrice
Theryl Whisenhunt
B: 1932-12-16
D: 2017-09-11
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Whisenhunt, Theryl
Thomas Clark
B: 1956-06-24
D: 2017-09-09
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Clark, Thomas
John Wiles
B: 1956-01-06
D: 2017-08-31
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Wiles, John
Charles Nelson
B: 1936-07-15
D: 2017-08-29
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Nelson, Charles

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1395 Arnold Lane
Medford, OR 97501
Phone: (541) 773-7338
Fax: (541) 773-6951

Immediate Need

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

To report a death to Memory Gardens Mortuary, please notify us first by phone at (541) 773-7338.

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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