t-/ -J., b
Cemete rylG raveya rd/Bu ria I PlotlG rave-site I nspection Name
(Ce metery/ilroveyard/Buria t
Type:
l@-
Location:
10
or
More
Plot/6 rave-site): G catt b o r
1raveyord
-7
through
9
Buriol Plot -
2
Ch
eckl ist
",
Through 6
Grave-site
5e-c* lt
PLEASE INCLUDE SESNON,TOWNSHIB
& RANGE
N Remarks
Standard 6rounds
Grass is cut, no rubbish
X
or debris on the ground. Good
Olq "o+1,
-*o { I
%rr1t-trt/
^.f",
-
7
st'
,+ I Ln*d+ € e-
uru pl a-n t'
L';
landscaping
Paved
with no
X
potholes and no flooding
frratleb N, abc-€-|) 1o No ra*A-* or sklead'ks ,
Pfe-se.^f
Grave-Sites
Monuments
lntact, Not Broken or need of
repair/replacement. In proper position.
Cleaned & Maintained
with no broken items.
Structures/Buildings
Cat
No sinking graves.
Clean
&Maintained,
Good general house keeping.
no-t-
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f
*zll u( ssnlen oP *o c-"vrdi{-,'cn
wffiffi* ,|B1fi
i+on. b{ r+"i
d;ule
"#?>';*f::,'ffit, uuniecate<$
^3
r
s
'
Yr\&in*u:; rrzd
None-
fa-ae4\ loc-a-f;on o F lcnoa:ir A4L0e' d-ue'1o
Oau"rru;t-
'a;}'; L
try3bmr
,,€ Vrn^A;
l ]
i
Drainage
Proper maintenance, No sign of leakage.
Utilities
Has
Other
Monument Damage or threats to the graves.
[/one-
water & electricity
N"+te-
x,
SotrtQ' Pa-rl<er etcne slv'*+ d YrPt ot,t
;;
'Frffi\ nJ-
bc.Es-' Overall Condition of
E: Excellent site, very well maintained
Site
G: Good site, has minor damage.
Priorities:
Date when Filed:
jJ
AbilJ-Researcher:
with monuments in great condition.