Obituaries

Patricia Mc Cutcheon
B: 1967-04-23
D: 2018-02-06
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Mc Cutcheon, Patricia
Mary Shepherd
B: 1924-09-28
D: 2018-02-02
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Shepherd, Mary
Dennis Garcia
B: 1942-08-16
D: 2018-01-23
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Garcia, Dennis
Julie Russell
B: 1957-03-28
D: 2018-01-22
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Russell, Julie
Robert Ray
B: 1934-06-18
D: 2018-01-14
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Ray, Robert
Eleanor Keene
B: 1922-11-01
D: 2018-01-08
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Keene, Eleanor
Shirley Atkinson
B: 1925-02-03
D: 2018-01-08
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Atkinson, Shirley
Irvin Smith
B: 1922-01-18
D: 2018-01-06
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Smith, Irvin
Gloria Leon
B: 1926-04-03
D: 2018-01-06
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Leon, Gloria
Richard Carpino
B: 1941-11-28
D: 2017-12-24
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Carpino, Richard
Lisa Henrich
B: 1963-07-29
D: 2017-12-24
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Henrich, Lisa
Maria Olvera
B: 1957-03-08
D: 2017-12-23
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Olvera, Maria
Walter Hardy
B: 1946-03-01
D: 2017-12-22
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Hardy, Walter
Dot Greer
B: 2018-02-03
D: 2017-12-17
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Greer, Dot
George Franklin
B: 1950-07-13
D: 2017-12-16
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Franklin, George
Theresa Herman
B: 1923-05-23
D: 2017-12-08
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Herman, Theresa
Donald Snyder
B: 1928-10-11
D: 2017-12-07
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Snyder, Donald
Wendell Flory
B: 1950-11-19
D: 2017-11-29
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Flory, Wendell
Virginia Clark
B: 1926-09-25
D: 2017-11-29
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Clark, Virginia
Suzanne Vlavianos
B: 1944-10-18
D: 2017-11-28
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Vlavianos, Suzanne
Max Jones
B: 1945-12-21
D: 2017-11-28
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Jones, Max

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215 South School Street
Lodi, CA 95240
Phone: (209) 368-5128
Fax: (209) 368-3814

Immediate Need

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

To report a death to Rocha's All Faiths Cremation & Burial, please notify us first by phone at (209) 368-5128.

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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