Much Wenlock Town Council Corn Exchange 66 High Street Much Wenlock Shropshire TF13 6AE 01952 727509 www.muchwenlock-­‐tc.gov.uk Town Clerk: Sharon Clayton BA (Hons) FILCM NOTICE OF INTERMENT AT MUCH WENLOCK CEMETERY
Please note that the Deed of Grant, identification and a disposal certificate of the deceased must be legally produced before each burial. The Town Clerk requires a completed Interment Form and all the relevant fees paid before the burial can be authorised. Please note that the Town Council is not responsible for the preparation of graves and interments on Saturdays must only take place between 9:00am and 2:00pm. APPROPRIATE FORMS OF ID: DRIVING LICENCE, PASSPORT OR UTILITY BILL (GAS, ELECTRICITY, TELEPHONE, WATER)
NAME OF DECEASED: _______________________________________________________________ [SEX: MALE / FEMALE] OCCUPATION:___________________________________________________ [AGE AT TIME OF DEATH____] [DATE OF BIRTH___ /___ /_____] [DATE OF DEATH___ /___ /_____] PLACE OF DEATH: __________________________________________________________________ HOME ADDRESS: ___________________________________________________________________ POSTCODE: _______________ RELIGION: ______________________[GRAVESIDE SERVICE: YES/ NO] NAME OF MINISTER: __________________________ CHURCH: _____________________________ DATE OF INTERMENT: ___ /___ /_____ TIME: ________ BURIAL NUMBER:__________(OFFICE USE) FUNERAL DIRECTOR: ________________________________________________________________ TELEPHONE NUMBER OF FUNERAL DIRECTOR: ___________________________________________ GRAVE LOCATION: SECTION ______ PLOT NUMBER: ______ DEED OF GRANT NUMBER:__________ [CASKET/COFFIN] LENGTH ______FT ______INS / WIDTH ______FT ______INS / DEPTH _______INS DEED OF GRANT OWNER: ____________________________________________________________ DEED OF GRANT NUMBER: ________________ DEED OF GRANT PURCHASE DATE: ___ /___ /_____ SIGNED APPROVAL FROM EXCLUSIVE RIGHTS OWNER: ____________________________________ ADDRESS OF EXCLUSIVE RIGHTS OWNER: _______________________________________________ _________________________________________________________________________________ POSTCODE: _______________ TELEPHONE NUMBER: _____________________________________ INTERMENT TYPE: NEW SINGLE DEPTH GRAVE / NEW DOUBLE DEPTH GARVE / RE-­‐OPENED GRAVE BURIAL PLOT PURCHASE FEES (EXCLUSICE RIGHTS OF BURIAL/DEED OF GRANT) FOR INHABITANTS OF THE PARISH PLOT TYPE PLOT DIMENSIONS SECTION FEE PLOT PURCHASED FOR A CHILD UNDER THE AGE OF 12 AT DEATH 7FT LENGTH (by) 3FT 6 INCHES WIDTH (by) 4FT DEPTH 7FT LENGTH (by) 3FT 6 INCHES WIDTH (by) 4FT DEPTH 7FT LENGTH (by) 3FT 6 INCHES WIDTH (by) 6FT DEPTH 2FT LENGTH (by) 3FT WIDTH (by) 2FT DEPTH E/F E E F NO CHARGE FULL SIZED BURIAL PLOT SINGLE DEPTH FULL SIZED BURIAL PLOT DOUBLE DEPTH CREAMTED REMAINS PLOT £275.00 £540.00 £125.00 BURIAL PLOT PURCHASE FEES (EXCLUSICE RIGHTS OF BURIAL/DEED OF GRANT) FOR NON-­‐INHABITANTS OF THE PARISH PLOT TYPE PLOT DIMENSIONS SECTION FEE FULL SIZED BURIAL PLOT SINGLE DEPTH FULL SIZED BURIAL PLOT DOUBLE DEPTH CREAMTED REMAINS PLOT 7FT LENGTH (by) 3FT 6 INCHES WIDTH (by) 4FT DEPTH 7FT LENGTH (by) 3FT 6 INCHES WIDTH (by) 6FT DEPTH 2FT LENGTH (by) 3FT WIDTH (by) 2FT DEPTH E E F £550.00 £1080.00 £250.00 INTERMENT (BURIAL) FEES INTERMENT TYPE FOR INHABITANTS OF THE PARISH FOR NON-­‐INHABITANTS OF THE PARISH BODY OF A PERSON £180.00 £360.00 ASHES OF A PERSON £125.00 £250.00 BODY OR ASHES OF A CHILD (WHOSE AGE AT THE TIME OF DEATH WAS 12 YEARS OR BELOW) NO CHARGE FOR INHABITANTS ONLY th
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These cemetery fees were adopted by Much Wenlock Town Council on the 25 November 2014 and revised on the 3 September 2015. PLEASE NOTE THAT THESE FEES DO NOT INCLUDE THE COST OF THE GRAVE DIGGER MUCH WENLOCK TOWN COUNCIL’S APPOINTED GRAVE DIGGER IS DAVID EVANS TO MAKE GRAVE DIGGING ARRANGEMNTS PLEASE CALL MOBILE NUMBER: 07976 972105 In pursuance of the Local Authorities Cemeteries Order 1977 the following applies: 18. (1) No person shall:-­‐ (a) Willfully create any disturbance in a cemetery; (b) Commit any nuisance in a cemetery; (c) Willfully interfere with any burial taking place in a cemetery; (d) Willfully interfere with any grave or vault, any tombstone or other memorial, or any flowers or plants on any such matter, or (e) Play at any game or sport in a cemetery. (2) No person not being an Officer or Servant of the Burial Authority or another person so authorized by or on behalf of the Burial Authority shall enter or remain in a cemetery at any hour when it is closed to the public. 19. Every person who commits an unlawful act shall be liable on summary conviction to a fine not exceeding £100 and in the case of a continuing offence to a fine not exceeding £10 for each day, which the offence continues after conviction thereof. Please note that memorials should not be installed at the cemetery without prior permission from the Town Clerk. Please ensure that the person supplying the memorial is aware of this. Memorial application forms, size regulations and fees are available from the Town Clerk’s Office and the Town Council’s website. •
THIS FORM MUST BE COMPLETED IN FULL BY THE EXCLUSIVE RIGHTS OWNER AND RETURNED TO: THE TOWN CLERK’S OFFICE, CORN EXCHANGE, HIGH STREET, MUCH WENLOCK TF13 6JQ
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THIS DOCUMENT MUST RECEIVE THE SIGNED APPROVAL FROM THE TOWN CLERK
SIGNED APPROVAL FROM THE TOWN CLERK: ___________________________ DATE: ___ /___ /_______