I hereby certify that I am authorized as/by the holder of the grant of right burial for the abovementioned grave to approve erection of the memorial detailed herein and I accept that the approval issued will be subject to conditions stipulated in the cemeteries act, the grant of right of burial and the by - Laws and regulation now and hereafter in force.
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Note: The Town of Port Hedland is indemnified against any liability attributed to any incorrect statements or information contained in this form.
Information for this section should be provided by the contractor
Please be advised that the contractor as well as the applicant will be notified whether the application has been approved or not, in writing within a period of 10 working days
Click here to download the terms and conditions.
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