аЯрЁБс>ўџ /1ўџџџ.џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅСq П(bjbjt+t+ U*AA(џџџџџџ]TTTTTTT$xxxxx „,xЦ ЖФФФФФФФФ™›››6боЏо $| єp МБ TФФФФФБ єTTФФФєєєФ:TФTФ™xxTTTTФ™є2є&yTT™ФАР­yCТxxўі‘Bedford Borough Council No:.............................. Rec/Inv:…………………………… NOTICE OF INTERMENT/ INTERMENT OF CREMATED REMAINS IN NORSE ROAD CEMETERY This Notice must be delivered to the office of the Registrar at least 2 clear working days before the day of the interment, particulars must be carefully and accurately given to: The Registrar, Cemetery Complex, 104 Norse Road, Bedford, MK41 0RL Tel: 01234 353701 Fax: 01234 359986 I hereby give notice of an interment to take place in the above Cemetery and certify that the particulars set out below are true. 1. Full names and surname of the Deceased ..................................................................................................……………….. 2. Home address .......................................................................................................……………………………………………. .......................................................................................................…………………………………………… 3. Where death occurred: .......................................................................................................……………………………….. (if different from above) .......................................................................................................………………………………. 4. Age ...................Years Sex .................................. Mr/ Mrs/ Miss/ Ms/ Dr (please delete as appropriate) 5. Date of death: ........................ ............................................................…………………………………………20 ............. 6. Time and date of burial: .........................am/pm ...............................................………………………20............. 7. Name of Minister: .......................................................…………. Religion: .............................……………. 8. Details of grave space: No:.................................... Section: ................................. 9. Type of burial: Double / Treble / Woodland / Burial Chamber / Mausoleum / Re-open / Vault / Garden Burial (Please delete as appropriate) Baby Section / Burial of Cremated Remains Coffin/Casket Length …………… Width ……………. Depth …………….. Type of handles ………………………. (please give outside dimensions) 11. Name of PERSON INSTRUCTING:Mr / Mrs / Miss / Ms /Dr :............................................................................................. Address: .......................................................................................................………………………………………………… ...................................................………………………………………………..Post Code..........................……… 12. Name and Address of Funeral Director: .......................................................................................................…………….…... ..................................................................….Tel. No. ...................................……. 13. If grave previously purchased, is deceased the Registered Owner ? YES / NO 14. If NO please state your relationship to the Registered Owner ................................................................................……….. 15. Full name of previous persons interred in grave: FORENAMES SURNAME DATE OF BURIAL          16. Signature of Applicant (who is responsible for the accuracy of the particulars stated herein) ......................................................................................................................... Address: ......................................................................................................................................................................................... Note - For the re-opening of purchased grave, the written authority of the Registered Owner MUST be attached to this Notice (or given in the form at the foot hereof) and the production of the Grave Grant, or (where such Grant does not exist) the appropriate evidence of purchase is also required. ___________________________________________________________________________________________________________________ FORM 61 AUTHORITY TO RE-OPEN PURCHASED GRAVE I, ................................................................................................ of ..............................................................................................................…………. ............................................................................... the person entitled to exercise the exclusive right of burial in the above-mentioned grave or vault, hereby authorise the said grave or vault to be opened for this interment. 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