|
Reservation
Print this Page and fill out the form to get your reservation process
started.
Mail to First Chair Resource listed at the bottom of the
page.
Philip E. Linn Pioneer Cemetery
Some information
available at www.pelinn.com
Philip E. Linn
Descendants,
Inc.
grave#_______________
RESERVATIONS AND
BURIALS
Name________________
date
reserved__________
date terminated________
SECTION 1: GRAVE RESERVATIONS
(make one form
for each gravesite reservation)
Give grave number if desired (See
Chart)___________________________________
Applicant____________________________________________Phone______________________
(person who will be buried in
gravesite)
Street_______________________City_________________State_____________Zip___________
Secondary
Contact: (Name)______________________________Relation to
above_____________
Street_______________________City_________________State_____________Zip___________
SECTION
II: BURIAL ARRANGEMENTS
How related to
P.E.Linn______________________________________________________________________
A
$100 Cemetery maintenance fee is to be to paid before burial to Philip E. Linn
Descendants, Inc. Please submit your check to Chairperson listed
below. (Estacada Cemetery Maintenance District and Estacada Funeral Home
have separate fees)
SECTION III: FUTURE
ACTION
Applicant or responsible person will, in writing, notify the
Burial Authority Committee of changes(s) of address, telephone, name, or
abandoning of grave site, etc. Reasonable effort will be made to contact
Applicant and Secondary contact before cancellation of
grave reservation.
Applicant or Guardian will RECONFIRM IN
WRITING EVERY FIVE (5) YEARS THEIR RESERVATION(S).
Five Year
Renewal Date: ________________Ten Year Renewal
Date:_______________________
Signature of
applicant/guradian__________________________Date________________________
SECTION
IV: OFFICE ACTION
Approved__________________________(Yes/No)
Decision by:________________________Date________________
If no,
explain___________________________________________________________________
A
copy of this document and each renewal are to be made available to a responsible
person. Correspondence and arrangements should be made with the Chair of
this committee (The Burial Authority Committee). With changes of chairperson of
this committee, addresses, and phone numbers may not be readily available.
Robert Bullard has consented to serve as "Permanent Representative" to give you
current chairperson's address and telephone.
Chair/First
Resource
Second
Resource
Third Resource
Carrie
Wilcox
Mark Farmer
Robert Bullard
5711
SE
Long PO Box
1178
1521 James Street
Portland,
Oregon 97206 Fairview,
Oregon 97024 Woodburn,
OR
Home: (503)
788-5786 (503)
665-6246 (503) 982-8691
Cell (503)422-3900
Alternative Contacts: Vicepresident@pelinn.com
Donna Strode (503)
775-2847
President@pelinn.com
Carrie Wilcox (503)
788-5786
This
plan and history prepared by Maurice L. Bullard, March 10, 1998 / Edited
05/01/2003
(SEE OTHER SIDE FOR GRAVE CHART OF THIS
CEMETERY)
|
|
