12502 Presar Road
Wapakoneta, Ohio 45895
419.738.2232
S.No
LAST NAME
FIRST NAME
MIDDLE NAME
SEC.
LOT OR CRYPT NO.
CONCRETE, ASHES OR STEEL
DATE OF DEATH
AGE AT DEATH
DATE OF BURIAL
UNDERTAKER
PLOT BOOK & PAGE NUMBER
ADDITIONAL NOTES
1
2
3
4
5
6
7
8
9
9
10
11
12