Cemetery Burial Record to be Added
The following information is requested to be included in the DSGR Cemetery Records.  Include as many of the fields as you are able.
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Cemetery *
Which of the Cemeteries listed contains the burial plot?
Surname? *
The surname of the deceased
Given name? *
Alias Name?
Name other than given name by which the deceased was known
Maiden name?
Age at time of death (years, months, days)
Clear selection
Last Residence?
city, county, state, country
Nearest Relative?
Birth Information
Date of Birth?
Year / Month / Day
City in which the deceased was born
County / Region ?
The county or region in which the deceased was born
State / Province?
The state of province in which the deceased was born
The country in which the deceased was born -- only leave blank if U.S.A.
Military Service
Military Branch?
The branch of the military in which the deceased served.
The deceased highest rank attained
The war or conflict in which the deceased participated.
Death Information
Date of Death?
Year / Month / Day
City in which deceased died.
County / Region?
The county of region in which they died.
State / Province?
The state or province in which they died.
The country in which they died -- leave blank for U.S.A. only.
Cause of Death?
Mortuary Name?
The name of the mortuary which handled the burial
Interment Information
Date of Interment?
Year / Month / Day
Plot Number?
Grave Type
Clear selection
The section number / letter of the cemetery
The block number within the section of the cemetery
The quarter of the block.
Tier Row?
Tier Point?
Grave Point?
If there is a marker, what is engraved upon it?  Include notation of any symbols
Notes / Comments?
Add any notes or comments that you feel would be appropriate.
Member Number? *
Enter your member number
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