John Doe | |
| Address | Unknown |
| Age | ? |
| Race | W |
| Sex | M |
| Widowed | |
| Single | |
| Military Service | |
| Married | |
| Place of Birth | Unknown |
| Date of Death | ? |
| Date of Burial | 1/22/1985 |
| Section | POTTSF |
| Lot Number | S/G #69 |
| Grave | S/G #69 |
| Lot Owner | John Doe |
| Lot Book | S/G |
| Page Number | S/G |
| Interment Book | 4 |
| Page Number | 133 |
| Funeral Home | |
| Next of Kin | ? |