| Grave Record |
| Lot Number | Grave Number | ||
| Location | Grave Depth | ||
| Total Graves | Vault Type | ||
| Available Graves | Deceased Last | ||
| Owner Last | Deceased First | ||
| Owner First | Age at Death | ||
| Owner Title | Burial Date | ||
| Book | Date of Death | ||
| Page | Town of Death | ||
| Date Purchased | State of Death | ||
| Veteran | |||
| Undertaker | |||
| Legal Rep. Last | |||
| Legal Rep. First | |||
| Legal Rep. Title | |||
| Remarks | |||