__________________ Cemetery Record

Required Information

Grave Identification

Section:                         Lot No.                          Owner:                                                                       

Address:                                                                                     Date Purchased:                                

Sales marked on map:                                         (date)  

Grave No. Name of Person Buried Date of Birth Date of Death Date of Interment Date marked on Map
1          
2          
3          
4          
5          
6          
7          
8          
9          
10          

 

Grave Identification

Section:                         Lot No.                          Owner:                                                                       

Address:                                                                                     Date Purchased:                                

Sales marked on map:                                       (date)

Grave No. Name of Person Buried Date of Birth Date of Death Date of Interment Date marked on Map
1          
2          
3          
4          
5          
6          
7          
8          
9          
10          

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