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Cemeteries Clauses Act 1847

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Form of Grant of Right of Burial

By virtue of [here name the special Act] we [here state the Name or Description of the Company ], in consideration of the Sum of _______________ to us paid by_________________ of_________________ do hereby grant unto the said_________________ the exclusive Right of Burial [or the Right of burying____________ Bodies, as the Case may be,] [or the Right of placing a Monument, Tablet, or Gravestone,] in [here describe the Ground intended for the' exclusive Burial, or for placing a Monument, Tablet, or Gravestone, as the Case may be, so as to identify the same, and if a Place of exclusive Burial, add,

numbered__________ on the Plan of the Cemetery, made in pursuance of the said Act], to hold the same to the said____________________ in perpetuity [or the Period agreed upon] for the Purpose of Burial [or as the Case may be]. Given under our Common Seal [or under our Hands and Seals, as the Case may be,] this______________ Pay of ______________in the Year of our Lord ___________

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