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Cemetery Monument Setting Request Form

  1. All foundations with the exception of Walnut Valley must have a 6 inch collar. No Exceptions! Prior Approval must be obtained from the Sexton for delivery vehicles to drive on other than a designated roadway. Persons installing headstones and foundations will be responsible for cleanup of work site and removal of excavated dirt to a designated area. Monument companies must first check in with the cemetery office with payment; the Cemetery Sexton will inspect stone placement and the work site before the installers leave the cemetery grounds.

  2. Type of Monument*

  3. Cemetery*

  4. Monument Setting Fee*

  5. Monument is*

  6. (Length x Width)

  7. Type of Foundation*

  8. (Length x Width)

  9. Vases*

  10. Does the Purchaser Own the Space(s) the Monument is to be set on*

  11. If No, has as the Purchaser Completely Filled Out and Returned the Monument Setting Permission Form*

    (Cemetery Office must have a copy of this before headstone can be set)

  12. Leave This Blank:

  13. This field is not part of the form submission.