Indiana Pioneer Cemeteries Restoration Project
Grave Survey Sheet
 
Instruction:  Complete one of these forms for each grave using a pencil.  Watch for grave markers with more than one person.  Be sure to note any special conditions or other information about the grave site or marker.  When possible, attach a photograph of the grave marker.  Always have someone else double check your work for accuracy.
 
Grave Number or Coordinates                          
Location of Cemetery

Name of Cemetery___________________________________________________________

City or Town____________________ County_______________ Township_______________

Directions to Cemetery________________________________________________________

_________________________________________________________________________

Religious or organizational affiliations______________________________________________



Data From Grave Marker

Name of deceased__________________________________________________________

Birth Date___________ Date Died____________ Age at Death____yrs ____months ___days

Name of Spouse____________________________________________________________

Name of Children___________________________________________________________

Military unit____________________________________________ Killed in Action?_______

Other information___________________________________________________________

________________________________________________________________________

________________________________________________________________________



Grave Marker Characteristics

Circle closest style:

Description_________________________________________________________________

_________________________________________________________________________

Height______  Width_______ Material___________________________________________

Condition__________________________________________________________________

_________________________________________________________________________

 

    The Indiana Pioneer Cemeteries Restoration Project.
Copyright 2005-Indiana Pioneer Cemeteries Restoration Project