TX-CEMETERY-PRESERVATION
hosted by
"Our Loose Ends" Genealogy Column
by Lynna Kay Shuffield
Houston, Texas
Name of Cemetery: ___________________________________________________________
Name of Recorder: ___________________________________________________________
(the name of the person who is completing this form)
Date Recorded: _____________________________________________________________
GPS Position of Marker: ______________________________________________________
Plot ______ Row ______ Grave No. ______ Section _______________________________
Full Name on Marker: ________________________________________________________
Inscription (copy exactly as found on marker – i.e., dates, epitaph,
military – use back of form if needed):
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Check all that apply ---
Marker Type: [] Head [] Foot [] Vertical-Tablet
[] Obelisk
[] Above-ground Tomb [] Horizontal-Flat [] Military
[] Woodsman of the World [] Mason/Eastern Star [] Historic
Medallion
[] Double-marker (other name) ______________________________________
[] Other Type ___________________________________________________
Marker Color: [] White [] Lt. Gray [] Dark Gray
[] Black
[] Pink [] Other Color ____________________________________________
Number of People on Marker: _____________ Number of Markers for Person: ____________
Marker Material: [] granite [] marble [] limestone
[] sandstone [] cast stone
[] brick [] stucco [] stucco [] zinc
[] wood
[] iron [] concrete [] temporary/funeral home
[] Other Material _____________________________________________
Marker Dimension: Height: ___________________ Width: ___________________
Thickness: ________________
Description of Design: ______________________________________________________
__________________________________________________________________________
Condition of Carving/Inscription: _____________________________________________
__________________________________________________________________________
Overall Marker: [] soiled [] stained [] mold (green/red)
[] graffiti
Condition: []
biological activity [] erosion [] losses
[] blistering/flaking/scaling [] fragmented [] cracking
[] tilted/fallen/sunken [] broken [] open joints
[] other ____________________________________________________
[] repair recommended ________________________________________
Marker Repairs: [] adhesive/glue [] replacement []
cement pad
Observed: []
encased [] iron pins/braces
[] other ____________________________________________________
Other:
[] iron fencing [] wood fencing [] chain fencing
Features:
[] cement boarder [] metal objects (flower urn)
[] cement bench [] vegetation (specify-tree, shrub) _________________
[] other ____________________________________________________
When facing grave, name on grave to the LEFT: _____________________________________
When facing grave, name on grave to the RIGHT: ___________________________________