Page 20 - Kenosha 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 Suites Place of worship Other
Page 20 - Kenosha Funeral Services & Crematory