_ - Green Mount Cemetery

Request for Burial Information

Green Mount Cemetery

The first step in obtaining burial information from the Green Mount Cemetery is to confirm the interment of the individuals for whom you are searching. Green Mount Cemetery will search for two individuals free of charge. Additional searches will be charged $2.00 for each name.The Lot Card contains a list of people buried in the lot and the dates of their interments. Individual Interment Cards may contain dates of birth and death, names of parents, residence, or the funeral home that handled the funeral arrangements. No guarantee can be made concerning the content of the Interment Card.

Payment and DeliveryCopies of Lot and Interment Cards, Headstone, and Lot pictures are $5.00 each. Requests will be completed and returned to you at our earliest convenience. If you wish to receive paper copies of the cards by mail, please indicate this by selecting the “traditional mail” option at checkout. Shipping and handling fees apply, and the prevailing postage rates will be assessed at checkout. Payments can be made by credit/debit card via the payment link in the confirmation email you receive from our office (info@greenmountcemtery.org) or by personal check or money order if you prefer.

Deceased Party InformationPlease fill in any information you can provide (including first, middle, last names, nicknames, and/or alternative spellings).

Prefix

First Name

Middle Name

Last Name *

Approximate Date of Birth:

Approximate Date of Death:

Burial Area:

Burial Lot:

Burial Space:

Copy of the Lot Card?YesNo

Copy of the Interment Card?YesNo

Military, Maritime or Other Professional Title. Additional Information

Deceased Party #2 InformationPlease fill in any information you can (including first, middle, last names, nicknames, and/or alternative spellings)

Prefix

First Name

Middle Name

Last Name

Approximate Date of Birth:

Approximate Date of Death:

Burial Area:

Burial Lot:

Burial Space:

Copy of the Lot Card?YesNo

Copy of the Interment Card?YesNo

Military, Maritime or Other Professional Title. Additional Information

Deceased Party #3 InformationPlease fill in any information you can (including first, middle, last names, nicknames, and/or alternative spellings)

Prefix

First Name

Middle Name

Last Name

Approximate Date of Birth:

Approximate Date of Death:

Burial Area:

Burial Lot:

Burial Space:

Copy of the Lot Card?YesNo

Copy of the Interment Card?YesNo

Military, Maritime or Other Professional Title. Additional Information

Deceased Party #4 InformationPlease fill in any information you can (including first, middle, last names, nicknames, and/or alternative spellings)

Prefix

First Name

Middle Name

Last Name

Approximate Date of Birth:

Approximate Date of Death:

Burial Area:

Burial Lot:

Burial Space:

Copy of the Lot Card?YesNo

Copy of the Interment Card?YesNo

Military, Maritime or Other Professional Title. Additional Information

Digital Photography:Digital photographs can be taken of family lots, monuments, or individual headstones for a $5.00 charge for each image. Please specify exactly what you would like us to photograph. Not all headstones are legible and it may be possible that no headstones exist. Refunds cannot be given when this is the case. Pictures will be forwarded to you by email.

Check one (If Desired)Headstone ImageLot Image

Your Contact Information:

Name

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Email Address