CITY OF SOUTH LYON
REQUEST FOR GRAVE OPEN/CLOSE
NAME OF DECEASED
CITY RESIDENT?
		(If yes, please provide residential address)
LOCATION:								Deed Available?
		SECTION		TIER/LOT		GRAVE				(Y/N)
DATE OF SERVICE:					TIME OF SERVICE:
								(Arrival at Cemetery)
Full/Cremation
(circle one)
SIZE:
VAULT						TIME OF ARRIVAL OF VAULT CO.:
CREMATION CONTAINER
SPECIAL CIRCUMSTANCES/NOTES:
								FEES:
								RESIDENT		NON-RESIDENT
REQUESTED BY:								ADULT	$500.00	ADULT	$800.00
								CHILD	$350.00	CHILD	$450.00
NAME OF FUNERAL HOME:								INFANT	$250.00	INFANT-SAT	$350.00
								ADULT-SAT	$600.00	ADULT-SAT	$900.00
PHONE:								CHILD - SAT	$450.00	CHILD - SAT	$550.00
								INFANT- SAT	$350.00	INFANT-SAT	$450.00
(Signature)					(Date of Request)			Payment will be made by (responsible party & date):
Please note the following Rules and Regulations as adopted by the City Council of the City of South Lyon:
1.	All opening and closings of burial sites will be performed City of South Lyon employees or authorized contract.
2.	All burials will be in approved vaults.
3.	Cremains shall not be scattered on any burial site, drive or open area.  They shall be interred in a durable
	container on an authorized burial site.
4.	Interment of cremains is restricted to four per burial site.  If the site has casket interment in place, only one
	cremains shall be permitted on that site.
5.	No burials will be permitted on Sundays and Holidays (New Years Eve, New Years Day, Martin Luther King
	Day, Thanksgiving, day after Thanksgiving, Christmas Eve and Christmas Day).
6.	No cremation burial on weekends or holidays.
7.	Burials which occur after 3:00 p.m. shall be charged the weekend rate.
8.	City shall receive not less than 48 hour notice of date and time of burial.
Please fax form to:  248-486-0049
Call 248-437-1735 to verify receipt