Page 24 - Symonds Madison Funeral Home

Cemetery instructions:
The following are my my wishes regarding my my final resting place Name of cemetery: Address:
City:
State:
Property crypt or niche owned?
If yes specify location written on on cemetery purchase agreement:
Final resting place:
Marker or Monument: Purchased:
City:
Monument company name: If no inscription instructions:
Bereavement Luncheon Location: Home
Earth burial Mausoleum Interment following Cremation
Scatter my ashes at at at this location: _____________________________________________________
Place of worship
Restaurant: ___________________________________________________________________ Banquet Hall: _________________________________________________________________ Another location special to me: _________________________________________________ _____________________________________________________________________________
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