Veteran's burial record form

Veteran burial information furnished by Name

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Click in box War or Conflict Civil War   WWI  WWII    Korean War   Viet Nam     Other Wars Or Conflicts

First Name     Last Name    Middle Name or Initil

Age    Date or year of Birth    Date or year of Death 

Cemetery where buried    Lot or Space

Branch of Service (Check)
Army   Navy   Marines   Air Force   Coast Guard     Seabees   Women Army Corp  Wave 
Other Branch of Service


List any other information not shown above (Bronze or Silver Star, POW etc that are awarded

Comments:  Any details you wish to add.