Application For A Memorial And Inscription

HUNTINGTON BURIAL AUTHORITY

 APPLICATION FOR A MEMORIAL AND INSCRIPTION

I, ……………………………………..……… being the  ……………………………… of the late ………………………………….………………….
of………………………………………………………………………………………………….
wish to carry out work on Grave/Cremated Remains (please Circle)
Side:……………………..
Row No: …………..…..
Plot No:………………..

Please allow …………………………………………………………… to erect the memorial in accordance with the design and particulars herewith submitted with the inscription as detailed herewith.
Description of Memorial material to be used:……………………………………………………………………………………………………………………………………….
Dimensions in Inches:  HEIGHT ……………….. WIDTH ………………..THICKNESS ………………..
Plinth measurements: LENGTH: ……………….. THICKNESS ………………..WIDTH ………………..
COPY OF INSCRIPTION:
…………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….

I undertake and agree to indemnify the Burial Authority against any damage caused by the erection of this memorial and any subsequent claim against them resulting from my actions.  I confirm that all work detailed herein will be in accordance with the BRAMM scheme, the NAMM Code of Working Practice and Rules of Huntington Cemetery.
RULES OF HUNTINGTON CEMETERY

Signature of Stonemason ……………………………………………
Date …………………………..
(£105)     (£74)  Please circle the amount.
Payment date………………..

No work is to be carried out without the prior approval of the Clerk
Payment to be made by bank transfer to Barclays Bank plc sort code 20-98-98 account number 43368440 in the name of Huntington Burial Authority and the clerk advised of the amount with this application.

Huntington Cemetery, New lane, Huntington, YO329LY