> Deceased Veterans Burial Form -->

Deceased Veterans Burial Form
(Please fill in the details and click on the "Send Survey" box)

Your full Name

Email *                    

In the space below list as much information that you can provide, the name of veteran from the Brunswick, Knoxville, Weverton, Sandy Hook, Petersville, Jefferson, Adamstown Pt of Rocks and Burkittsville area.  Burial can be anywhere.

If BHS alumni show year graduated if known

Deceased veteran's Last Name First Name Middle Name or Initial

If you wish you can email a photo while in the service.  Send to me at curwebber@aol.com

Served during War or Conflict Civil War  WW1  WW2  Korean  Vietnam  Other War or Conflict

Branch of Service Army Navy Marines Air Corps Coast Guard WAC WAVE Nurse  Other

Rank Div Regiment Company/Ship etc

Date enter service Date discharged

Medals/Awards Other comments

Age Date Born Date Died  

Where buried cemetery city state Sec Lot #