Page 20 - Gary Rollins Funeral Home

Cemetery instructions:
The following are my wishes regarding my final resting place.
Name of Cemetery: Address:
City:
Province:
Property, Crypt or Niche Owned?
If yes, specify location written on cemetery purchase agreement:
Final Resting Place:
Marker or Monument: Purchased:
City:
Monument Company Name: If no, Inscription Instructions:
Reception Location:
Earth Burial Mausolem Interment following Cremation Other
Reception to Follow Cemetery
Reception to Follow Service Notes:
Reception
Place of Worship Other
Page 20 - Gary L. Rollins Funeral Home