Souris Valley Humane Society

Memorial Park

CREMATION AGREEMENT                                                                Date_______________

We, at Souris Valley Humane Society, are sorry to hear about the loss of your pet. We are here to help you through this difficult time and make your choice of burial as easy as possible.   

Group Cremation for a Field Burial:

Remains are not returned to the owner. The remains are buried in our cemetery in a field burial.

Under 5 lbs. (rodents, birds, puppies, kittens)          $28.00___

Cats and dogs

(Under 25 lbs.)                                                       $40.00___

25 to 50 lbs.                                                          $50.00___

51 to 75 lbs.                                                          $60.00___

76 to 100 lbs.                                                        $70.00___

Over 100 lbs                                                          $80.00___

Individual Cremation:

*Remains are returned to the owner in a temporary urn.

Any animal under 25 lbs                                          $100.00___

25 to 50 lbs.                                                          $110.00___

51 to 75 lbs.                                                          $120.00___

76-100 lbs.                                                            $125.00___

(*Add a dollar per pound if animal is over 100 pounds)         ___

(Cremation urns are available for an additional cost-please ask for more information)

                                          TOTAL COST   $_________

Owner's Name___________________________________________________________

Home Phone___________________________ Alt. Phone_________________________

Address________________________________________________________________

City, State and Zip_______________________________________________________

Pet's Name____________________________ Sex______________________________

Breed________________________________  Description________________________

Age__________________________________ Weight___________________________

Date of Death__________________________ Clinic____________________________

Note: Due to cremation work load it may take up to 4 weeks for remains to be returned to owners.

Note: Depending on the breed of the animal a hair sample will be taken for the owner.

Signature (pet owner)____________________________________________________

Signature (employee)____________________________________________________

Office Use Only:

Date Transported__________/Initials_____Card__________________

Date Cremated___________/Date Processed____________________