Obituaries

Marie Stith
B: 1925-12-27
D: 2017-05-25
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Stith, Marie
Leontine Reynolds
B: 1924-01-16
D: 2017-05-24
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Reynolds, Leontine
Daisybel Welch
B: 1924-02-28
D: 2017-05-19
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Welch, Daisybel
Claire Reed
B: 1928-02-19
D: 2017-05-17
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Reed, Claire
Gaspar Tadeo
B: 1940-01-06
D: 2017-05-15
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Tadeo, Gaspar
Robert Miller
B: 1948-09-16
D: 2017-05-10
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Miller, Robert
Daniel McCarthy
B: 1948-06-15
D: 2017-05-07
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McCarthy, Daniel
Charles Hall
B: 1953-11-20
D: 2017-05-02
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Hall, Charles
Donald Miller
B: 1950-12-09
D: 2017-05-02
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Miller, Donald
Jill Blalock
B: 1942-08-23
D: 2017-04-29
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Blalock, Jill
Shafiq Ahmad
B: 1950-11-21
D: 2017-04-28
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Ahmad, Shafiq
Mary Grotelueschen
B: 1934-05-07
D: 2017-04-27
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Grotelueschen, Mary
James Young
B: 1958-06-11
D: 2017-04-26
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Young, James
Rohid Popal
B: 1996-04-24
D: 2017-04-22
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Popal, Rohid
Steven Giraudo
B: 1952-08-12
D: 2017-04-19
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Giraudo, Steven
Lois Korock
B: 1939-12-18
D: 2017-04-14
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Korock, Lois
Nilam Nisa
B: 1947-01-01
D: 2017-04-14
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Nisa, Nilam
Ronald Stotz
B: 1958-06-29
D: 2017-04-12
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Stotz, Ronald
Stanley Machado
B: 1935-06-04
D: 2017-04-11
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Machado, Stanley
David Leake
B: 1961-06-26
D: 2017-04-11
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Leake, David
Sandra Timmons
B: 1956-09-30
D: 2017-04-07
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Timmons, Sandra

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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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