Cemetery:
___________________________________
City:________________________State: ______________
Sons
of Confederate Veterans
Camp: ___________________________ # _____________
Surveyor: ____________________ Date: ______________
Name:_______________________________________ Ref/Sect:
_____________________________
Last First Middle
_____________________________________
Date of Birth:
__________________________
Orientation: N E
S W
Date of Death:
_________________________
Dimensions: W_______H_______D________
Carver/Maker:
__________________________ No.
of People Commemorated: ____________
Marker Type:
_________________________
Negative: Roll Photo
Before _______ ________
After _______ _______
MATERIAL: 1. Marble 2.Granite 3.Sandstone
4.Slate 5.Cement 6.Other__________
Carved Surfaces: 1.Front 2.Back
3.Top 4.End Panels
MOTIF:
BORDER: CARVING: BASES:
1.Floral/Foliage
1.Simple 1.Mint 1.Marble
2.Urn/Willow
2.Elaborate 2.Clear but
worn 2. Granite
3.Winged skull/Face
3.Motif 3.Mostly Deciph. 3.Sandstone
4.Military
4.None
4.Traces
4.Cement
CONDITIONS:
5.Other: ________________________ 5.Illegibel 5.Other. 1.Sound:__________________
6.None 6.None
_________________________
2.Broken:_________________
PREVIOURS REPAIR WORK
RECOMMENDED TREATMENT
________________________
1.None Evident Urgency of Repair
3.Fallen/Tilted/Sunken/Raised
2.Peplacement Bases:
1.Urgent
_________________________
3.Adhesive Rep.
2.Immediate
4.Chipped:_________________
4.Other
__________________________
5.Cracked:_________________
__________________________
6.Biological
Activity:________
__________________________
7.Soiling/Stains:____________
__________________________
8.Erosion/Sugar/Decay:______
__________________________
9.Flaking/Blistering:_________
__________________________
10.Fragments:______________
__________________________
11.Looses:_________________
__________________________
12.Delamination:____________
__________________________
Notes:
____________________
__________________________.
__________________________.
__________________________.
Sons of Confederate Veterans
Camp: ___________________________________________
Gravestone Conservation Inventory Page 2
Name: ___________________________ DOD: _____________ Ref/Sect: ___________
Inscription: (If lengthy, use addendum) ________________________________________________________________________________________________________________________________________________
Conservators Notes:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
After Photograph
(MJM 2004)
