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Cemetery Monument Setting Request Form
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Talon Reust, Sexton - (316) 321-3410 - cemetery@eldoks.com
Monument Setting not Allowed Until Proof of Ownership or Permission From Owner is Shown
Regulations:
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.
Must Give 48 Hour Notice (Two Full Business Days) Before Setting Monument
Monument Company
*
Contact Person
*
Contact Phone #
*
Date Monument will be set
*
Date Monument will be set
Type of Monument
*
Pre-Need
At Need
Re-Set
Name(s) on Monument
*
Cemetery
*
Sunset Lawns
Walnut Valley
Belle Vista
Block/Section
*
Lot
*
Space(s)
*
Monument Setting Fee
*
Single - $50.00
Double - $50.00
Veteran - $0.00
Monument is
*
Granite
Bronze
Military
Marble
Dimensions of Monument Base
*
(Length x Width)
Type of Foundation
*
Pre-Cast
Wet Pour
No Foundation - Walnut Valley
No Foundation - Foot Marker
Dimensions of Foundation
(Length x Width)
Vases
*
Yes
No
If Yes, Number and Location of Vases
Comments
Purchaser of Monument
*
Owner of Space(s)
*
Deed #
Does the Purchaser Own the Space(s) the Monument is to be set on
*
Yes
No
If No, has as the Purchaser Completely Filled Out and Returned the Monument Setting Permission Form
*
Yes
No
Purchaser Owns Space(s)
(Cemetery Office must have a copy of this before headstone can be set)
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