Craven Bereavement Services

The Chapel Office, Skipton Crematorium,

Carleton Road, Skipton, North Yorkshire BD23 3BT

Tel: (01756) 796118

STONE PLAQUE OR VASE APPLICATION (*delete as applicable)

SECTION‘G’ STONE PLAQUE - 15’’x 20”*

GARDEN OF REMEMBRANCE(GOR) STONE PLAQUE – 15” x 15”*

SECTION ‘E’ GRANITE DESK TOP 182 x 18”*

Particulars of person to be registered as the owner / applicant

FULL NAME
ADDRESS
TEL / E-MAIL

SECTION NUMBER ‘G’ / GOR / ‘E’

STONE NUMBER:______

Do Family wish to be present whilst interring remains? YES / NO

Do Family wish to be present whilst placing the plaque / vase?YES / NO

PLEASE ALLOW UP TO 6 WEEKS FOR COMPLETION
New Memorial / Additional Inscription / Other Works
NAME OF DECEASED
DATE OF INTERMENT
IS SPACE TO BE LEFT FOR A FURTHER INSCRIPTION? YES / NO
Funeral Director making application?
Is lettering to be arranged privately? YES / NO
INSCRIPTION

PLEASE TURN OVER

Section G

Stones are available 15” x 20” for placing in this section; up to four sets of cremated remains can be interred beneath each stone.

Garden of Remembrance (GOR)

Stones in this section are 15” x 15”. This section is now full. No new grave spaces are available. However, additional inscriptions may be placed on existing stones or replacements stones can be placed.

If a replacement stone; do we return the previous stone to the applicant / dispose of (delete as applicable).

Granite Desk Top – Section ‘E’

Granite Desk Top Plaques are available 18” x 18 ” for placing in the current section; up to two sets of cremated remains can be interred with each Granite Desk Top.

PLEASE MAKE CHEQUES PAYABLE TO ‘CRAVEN DISTRICT COUNCIL’

Signature: ______Date: ______

The Council reserve the right to refuse any inscription considered unsuitable.In order to keep the grounds neat and tidy and to aid grounds maintenance, the area surrounding the garden of rest should be left clear of glass containers, plastic surrounds and any such articles. The Cemetery staff will remove any articles that are deemed unsuitable.

FOR OFFICE USE ONLY:

Type / Code / No. of / £
Exclusive Right Of Burial Of Ashes / 5360 R190 CC04
Purchase Of Stone Plaque / 5360 R190 CC02
Interment Of Cremated Remains / 5360 R190 CC05
Lettering Of Stone Plaque / 5360 R190 CC03
Consent To Place Inscription / 5360 R190 CC06
Purchase Of Stone Vase / 5250 R190 SA14
Consent To Place A Stone Vase / 5360 R190 CC07
Lettering For Stone Vase / 5360 R190 CC03
Caskets / 5250 R190 SA02
Invoice Raised Checked by / Total
Invoice Number / Interment Form Received
Receipt Number / Date Ordered
BACAS ID Number / Order Number
Date entered on BACAS / Date Received Back
Plan Updated / Checked By
Supplier / Date Placed
Grant No. / Placed By
Plan Updated
Additional Information

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