Michigan Historical Marker ~ Cemetery Supplement

to Historic site application

Michigan History Center

Michigan Department of Natural Resources, P.O. Box 30740, Lansing, MI 48909-8240

Historic Name of Cemetery:
Local Governmental Unit: / MI / County:
Where will marker be placed on the site? NOTE: Marker must be located near the entrance.

Description:

Primary materials used to create the grave markers:

Concrete Granite Iron Limestone Marble Sandstone Zinc

 Other ______

Check the types of grave markers or monuments present in the cemetery:

Bench Bird bath, sundial, etc.  Cross Column  Fraternal symbol Hand pointing upward

Hand pointing down from cloud Lamb lying down  Obelisk Open gates  Sacrcophagi Screen Scroll Sculptural memorials Seated maiden Tablet Tree trunk Weeping willow

Other ______

Indicate additional features:

Calvary depictions Fountain Grotto Metal benches Metal planters

Ornamental fencing/gate Wall War memorials

Burial Information ~ Estimate the following:

Total No. of Graves: ______No. of 19th century [1801-1900] graves ______

No. of Graves Predating 1801: ______No. of 20th century [1901-2000] graves ______

No. of Unmarked Graves: ______

Comment on the general condition of the cemetery:

Excellent  Good  Fair  Poor Abandoned

The cemetery contains the following buildings:

 officechapelpublic mausoleum private mausoleum caretaker’s house

other ______

Predominant Ethnic Group Represented (if applicable): ______

How is this determined?

Surnames represented Inscription language Statuary figures Documentary evidence

Updated February 2017Page 1 of 2

Buildings and Structures

Using the list below as a guide, indicate the materials/building techniques used in the construction of the main cemetery structures:

Aluminum Siding / Asbestos Siding / Asphalt Shingles
Brick / Concrete Block / Metal Roof
Metal Siding / Reinforced Concrete / Stone
Synthetic Stone / Vinyl Siding / Wood Shingles
Wood Siding / Other______

Building or Structure: ______Year Built:______

Materials: ______

STAFF USE ONLY
Architectural Classification ______

Building or Structure: ______Year Built:______

Materials: ______

STAFF USE ONLY
Architectural Classification ______

Building or Structure: ______Year Built:______

Materials: ______

STAFF USE ONLY
Architectural Classification ______

Briefly describe on a separate page the historic and current condition of the cemetery, including major landscape features and architectural details for each building, structure, or object. The narrative should describe distinctive landscape features (ornamental plants, shrubs, trees, rivers, ponds, natural vegetation, planned system of roads and pathways). Note how the historic portion of the cemetery differs from any recent additions.

PLEASE NOTE: This form is intended to be used only as an attachment to the Historical Marker application. It is not an application by itself.

Updated February 2017Page 2 of 2