Obituaries

Wendy Rector
B: 1950-03-03
D: 2017-08-10
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Rector, Wendy
Verlin Jackson
B: 1962-11-18
D: 2017-08-08
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Jackson, Verlin
Sid Roberts
B: 1935-05-23
D: 2017-08-07
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Roberts, Sid
Andrew Hon
B: 1958-09-09
D: 2017-08-05
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Hon, Andrew
Frances Freeman
B: 1915-12-10
D: 2017-08-03
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Freeman, Frances
Tex Richie
B: 1936-06-12
D: 2017-07-26
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Richie, Tex
Lois Walter
B: 1935-08-18
D: 2017-07-04
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Walter, Lois
Audie Barbee
B: 1940-01-02
D: 2017-06-24
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Barbee, Audie
Jewell Inserra
B: 1929-09-09
D: 2017-06-19
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Inserra, Jewell
Charles Keen
B: 1931-06-30
D: 2017-06-16
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Keen, Charles
Betty Rogers
B: 1921-03-25
D: 2017-06-08
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Rogers, Betty
Robert Mather
B: 1933-06-16
D: 2017-06-05
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Mather, Robert
Larry Van Liew
B: 1942-12-28
D: 2017-05-25
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Van Liew, Larry
K'Trisha Goucher
B: 1989-03-13
D: 2017-05-25
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Goucher, K'Trisha
Deneice Wright
B: 1944-11-25
D: 2017-05-21
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Wright, Deneice
Kenneth Nelson
B: 1931-01-27
D: 2017-05-18
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Nelson, Kenneth
Barbara Ritter
B: 1940-07-21
D: 2017-05-02
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Ritter, Barbara
Lois Funderburg
B: 1928-08-11
D: 2017-05-01
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Funderburg, Lois
Alan Biley
B: 1944-04-27
D: 2017-04-30
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Biley, Alan
Constance Graves
B: 1935-02-17
D: 2017-04-28
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Graves, Constance
Clarence Smith
B: 1927-09-26
D: 2017-04-25
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Smith, Clarence

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2201 North Phoenix Road
Medford, OR 97504
Phone: (541) 773-6162
Fax: (541) 773-9782

Immediate Need

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

To report a death to Hillcrest Mortuary, please notify us first by phone at (541) 773-6162.

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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