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CEMETERY SERVICES CONTRACT
Cemetery Services Contract • June 25th, 2015

PURCHASER INTERMENT RIGHTS HOLDER NAME ADDRESS PHONE NUMBER RELATION TO DECEASED DECEASED INFORMATION NAME LAST FIRST MIDDLE DATE OF DEATH DAY MONTH YEAR INTERMENT TIME: TIME MONTH/DAY YEAR Interment Rights for: Cemetery and Site #: Pre-Need Purchase Lot(s): Section: INTERMENT RIGHTS CHARGES Lot/Grave Interment Rights Purchase Price *Care &Maintenance HST Total Adult LotCapacity: 1 non-cremated remains, then up to 3 cremated remainsHillcrest: 3m x 1.2m (10’ x 4’), Northway/Sacred Heart: 3m x 1.05m(10’ x 3.5’) $500.00 $250.00 $97.50 $847.50 Infant/Child Lot - Capacity: 1 non-cremated or 1 cremated remainsHillcrest only: .45 m x .75 m (1.5’ x 2.5’) $185.00 $150.00 $43.55 $378.55 Cremation Rail Grave - Capacity: 1 cremated remainsHillcrest only: 60 cm x 60 cm $250.00 $150.00 $52.00 $452.00 Veteran’s Lot: Northway Legion Cemetery onlyCapacity: 1 non-cremated remains, then up to 3 cremated remains No Charge No Charge Care & Maintenance Cont

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