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Cemetery Standard Operating Procedures 2011 - Tasman District ...

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Appendix 2(b):<br />

Application for Burial (Interment) Warrant<br />

Application for Burial (Interment) Warrant<br />

<strong>Cemetery</strong> Name<br />

Funeral Director<br />

Indicate Interment Type:<br />

Ash Interment<br />

New Plot<br />

Reserved Plot<br />

Children’s<br />

Burial<br />

Re-Open<br />

RSA<br />

If Re-open, who with?<br />

Surname<br />

First Names<br />

Details of the Deceased:<br />

Surname<br />

First Names<br />

Date of Death<br />

Age at Death<br />

Place of Death<br />

Address<br />

Date of Birth:<br />

Sex<br />

Occupation<br />

Interment Details:<br />

Day & Date of Interment<br />

Service Time & Place<br />

Fill in Time<br />

Casket / Urn Size<br />

Block Number<br />

Row Number<br />

Plot Number<br />

Plot Depth<br />

Double / Triple / Other (specify)<br />

Special Instructions / Notes (i.e. is there a cup of tea before interment etc)<br />

Council Use Only<br />

Booking Date<br />

Time of Booking<br />

Contact Method<br />

Sexton Contacted<br />

Faxed to SICON<br />

Details in Database<br />

Marked on Plans<br />

Invoice Raised Invoice #<br />

Permit to Open Ground #<br />

17

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