a division of Graphic Details

To contribute information about your ancestors interred at Chester Rural Cemetery, please complete as much information as possible on this form and then click "Submit" at the bottom of the form.

If you prefer, you could also print out the form (as many copies as needed) and mail to:

John A. Bullock III.
351 Pin Tail Drive, Reidsville, NC 27320-9186

 

Name of individual interred at Chester Rural Cemetery:

First:     Maiden:

CRC Permit # (Available on the CRC Surname burial index pages.)

Dates:     Born:      Married:      Died:

Where:   Born:      Married:       Died:

Is a photo of this individual available?  Yes   No

If a photo is available, please attach a *.tif or *.jpg to an email to john@oldchesterpa.com

Spouse's Name: (First, Middle, Last)

Sponse's Dates:  Born:      Died:

Children:

Name:   Born:    Died: 

Name:   Born:    Died: 

Name:   Born:    Died: 

Name:   Born:    Died: 

Name:   Born:    Died: 

 

Lived:  City:    State: 

Was this person a native or how did he/she come to be in Delaware County, PA?

Occupation:

Military Service:

Church:

Clubs and Organizations:

Hobbies / Activities:

Awards / Accomplishments:

 

Father's Name: (First, Middle, Last)

Date Born:    Date Died: Interred at:

 

Mother's Name: (First, Middle, Last)

Date Born:    Date Died: Interred at:

Enter any additional comments in the space provided below:

Tell us how to get in touch with you:

Name     
E-mail   
Tel      
FAX
Please contact me as soon as possible regarding this matter.

Remember, if a photo is available, please attach a *.tif or *.jpg to an email to john@oldchesterpa.com

Thank you for taking the time to provide this information and for helping to preserve the rich history of Chester, PA!

Note: This website is maintained and sponsored by Graphic Details Publications.  It is not the official web site of the Chester Rural Cemetery Association and they will not be held liable for any inaccuracies contained herein.

© 1999 - 2009 John A. Bullock III.