PLOT SALE FORM
NEZPERCE-RUSSELL CEMETERY DISTRICT
Full Name (s)________________________________________________
Address _________________ City ____________ State ______ Zip ______
Phone (___)________________ Cell (___)_________________________
Email ______________________________
Authorization
I certify to the best of my knowledge that all of the information provided is true and correct. If the cemetery should have any questions or need further information, the first point of contact should be the Contact Information as indicated above.
Signature __________________________ Date _________
Printed Name ____________________________
Space Dimensions 3’x9’
| 1 2
3 4 5 6 |
Cremation Spot Choices
Spot _________
Cemetery Of Choice:
⎕City ⎕Mt. Calvary ⎕Russell
Grave Location: Block ________ Row/Lot ________ Grave (s) ________
$100.00 per plot Total Amount Due: _______________
Payments: Mail checks to NRCMD, PO Box 367, Nezperce, ID 83543. Once payment is received you will receive a deed for the Right of Burial. Deeds do not need to be recorded but kept with your records for safekeeping.
Owner Transfer / Sale of Plot: Transfers or Sales are transferable with the authority of the NRCMD, a $25.00 fee will be payable before the transfer takes place.
Monument: Monuments outside the given row will be flush mount with the ground. All other monuments will be within the assigned grave dimensions. Monument placement will be overseen by district and installed professionally. Family is responsible for maintenance of monuments. Cemetery Board has final say on etchings and wording on monuments.
Note: Once you have received a deed for the Right of Burial your reservation will be added to the districts reservation list. All burials will be performed by the Nezperce-Russell Cemetery Maintenance District Sexton.
| Office Use Only __Payment received __Invoiced __Deed returned __Reservation added Initials________ |