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Cemetery Survey
Your Name: _________________________________________________________________
Your Partner's Name: _________________________________________________________
Cemetery: __________________________________________________________________
Section and Number of Graves Assigned: _________________________________________
Death Dates
List the date of death and the family name or top name on the
gravestone.
Earliest Listed: _______________________________________
Most Recent Listed: ___________________________________
Number from the 18th Century: __________
Number from the 19th Century: __________
Number from the 20th Century: __________
Gravestone Materials
If time permits, list the number of markers made of each type of material.
If not, indicate the frequency of the materials used by marking the most frequent
as "1," the next most frequent as "2," etc.
| Slate |
__________ |
Schist |
__________ |
Sandstone |
__________ |
| Marble |
__________ |
Granite |
__________ |
Fieldstone |
__________ |
Carvings
List the number of markers with each major design. If other designs are prominent,
describe them in the space below.
| Skulls |
__________ |
Angels |
__________ |
Urns/Willows |
__________ |
| Faces |
__________ |
None |
__________ |
Other (describe) |
__________ |
Epitaphs/Inscriptions
Copy down inscriptions or epitaphs from five gravestones that you find to be
interesting or typical of gravestones from a particular period.
1. __________________________________________________________________________
____________________________________________________________________________
2. __________________________________________________________________________
____________________________________________________________________________
3. __________________________________________________________________________
____________________________________________________________________________
4.__________________________________________________________________________
____________________________________________________________________________
5. __________________________________________________________________________
____________________________________________________________________________
Gravestone Data
Choose six gravestones in your area-preferably three recording deaths before 1820
and three recording deaths after 1880. Record the names, dates of birth and death,
ages at death, and inscriptions if available.
| Name _________________________________ |
DOB
|
_____ |
DOD
|
_____
|
Age
|
_____
|
| Inscription ___________________________________________________________ |
| |
| Name _________________________________ |
DOB
|
_____ |
DOD
|
_____
|
Age
|
_____
|
| Inscription ___________________________________________________________ |
| |
|
|
|
|
|
|
| Name _________________________________ |
DOB
|
_____ |
DOD
|
_____
|
Age
|
_____
|
| Inscription ___________________________________________________________ |
| |
| Name _________________________________ |
DOB
|
_____ |
DOD
|
_____
|
Age
|
_____
|
| Inscription ___________________________________________________________ |
Artwork
Draw or take a photograph of at least one gravestone in your area.
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