Vital Statistics Form

Vital Statistics

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BASIC STATISTICS

FAMILY INFORMATION

INFORMANT INFORMATION

FINAL DIPOSITION

Kleinberg Funeral Services will contact your cemetery to verify grave location. Please provide us with as much information as possible:

• Name(s) of previous burial(s) with approximate date(s)

• Who owns the grave(s)?

• Private or society grounds?

• Location (e.g. contract/map #, section, block, lot, row, division, path, grave)

• If you need to purchase a grave