State Cemetery Data Page 3
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4Department of Veterans Affairs Sample Data Sheet
(Instructions)
Department of Veterans Affairs Sample Data Sheet
Number 1: Provide the full name of the Cemetery
Number 2: Provide the complete mailing address for the cemetery.
Number 3: Provide open or closed status of the cemetery.
Number 4: Provide the current full name of the director of the cemetery.
Number 5: Provide a current and up to date phone number including area code.
Number 6: Provide a current fax number to the administrator/ cemetery.
Number 7: Provide current up to date e-mailing address for the Director of the cemetery.
Number 8: Provide the current Web site address of the cemetery.
Number 9: Provide date cemetery opened.
Number 10: Provide the dedication date that the cemetery opened.
Number 11: Provide the date of the first burial either by full casket or cremation.
Number 12: Provide the estimated closure date (Month and Year), based on burial rate (see example: How to Estimate Date of
Closure.
Number 13: Provide the name of State Agency responsible for the cemetery.
Acreage
Number 14: Provide the total number of acres for the cemetery (included both developed and undeveloped.)
Number 15: Provide the current number of acres that is developed.
Number 16: Provide the total number of undeveloped Acres.
Casketed Gravesites
Number 17: Provide the current number of developed casketed gravesites available.
Number 18: Provide the estimated number (phased) gravesites in undeveloped acreage.
Number 19: Provide the total number of casketed gravesites maintained to date.
Cremation Gravesites
Number 20: Provide the current number of in-ground cremation gravesites available.
Number 21: Provide the estimated number (phased) cremation gravesites in undeveloped acreage.
Number 22: Provide the total number of in-ground cremation burials maintained to date.
Columbarium Niches
Number 23: Provide the current number of columbarium niches available.
Number 24: Provide the estimated number (phased) undeveloped columbarium niches.
Number 25: Provide the total number of columbarium niches maintained to date.
Total Gravesite Usage
Number 26: Provide the current number of casketed, cremation and columbarium (adding blocks # 17, # 20 and # 23).
Number 27: Provide estimated number for gravesites in undeveloped acreage (adding blocks # 18, # 21 and # 24).
Number 28: Provide total number of casketed, in-ground and columbarium maintained to date (adding blocks # 19, # 22 and # 25).
Burials
Number 29: Provide the number of first casketed burials for the fiscal year - both Veterans and Dependents.
Number 30: Provide the number of first in-ground cremated burials for the fiscal year - both Veterans and Dependents.
Number 31: Provide the numbers of first columbarium burials for the fiscal year - both Veterans and Dependents.
Number 32: Provide the number of second casketed, burials for the fiscal year - both Veterans and Dependents.
Number 33: Provide the number of second in-ground cremated burials for the fiscal year - both Veterans and Dependents.
Number 34: Provide the number of second columbarium burials for the fiscal year - both Veterans and Dependents
Number 35: Provide sub total (adding blocks # 29 through # 34) - both Veterans and Dependents.
Number 35A: Provide sub total (All previously reported burials).
Number 36: Provide the total number of burials from date of opening the cemetery to the current date ) - both Veterans and
Dependents (adding blocks # 35 and # 36).
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