Cemetery:
Lot Number:

Name of Person entering Data:

Data last entered by:

Grave Information:


Grave No:               
Longitude:              
Latitude:               
Family Name:            
Given Name:             
Birth (yyyy-mm-dd):      (Enter yyyy-00-00 if no month or date)
Death (yyyy-mm-dd):      (Enter yyyy-00-00 if no month or date)

Image Comments:         


Site Condition:
   Maintained             
   Overgrown              
   Trash                  
   Vandalized             
   Comment:              

Marker at Head of Grave:
   Inscription:          
   Makers Signature (if any:    
   Orientation:  
   
   Motifs:
      Fraternal           
      Clasped Hands       
      Dove                
      Cross              
      Urn                 
      Willow              
      Lamb               
      Open Book          
      Floral             
      Comment            
   Type:
      Column              
      Headstone           
      Obelisk             
      Statuary           
      Tablet              
      None                
      Comment:           
   Material:
      Brick               
      Concrete            
      Fieldstone          
      Granite            
      Limestone           
      Marble              
      Pottery             
      White Bronze        
      Wood               
      Iron               
      None                
      Comment:           

   Condition:
      Sound               
      Chipped             
      Cracked/Broken      
      Crumbled           
      Tilted              
      Fallen              
      Plant Growth        
      Other               
      Comment: