| Record no. | A570105 |
| Surname | BOOTH |
| First Names | SAMUEL COLIN |
| Occupation | STUDENT |
| Plot No 1 | 3562 |
| Depth of Grave | 5 |
| Cemetery | ASHBURTON CEMETERY |
| Plot Size | ASHBURTON LAWN SECTION |
| Age at Time of Death | 16 years |
| Date of Death | 16/08/2005 |
| Date of Internment | 20/08/2005 |
| Date of Purchase | 20/08/2005 |
| Purchaser Address 1 | 59 PETER STREET |
| Purchaser Address 2 | ASHBURTON |
| Denomination of Deceased | NEW LIFE CENTRE |
| Name of Clergy Person | PASTOR R DAVISON |
| Name of Funeral Director | PATERSONS FUNERAL SERVICES |
| Headstone Permit Issued to | HEADSTONE PERMIT ISSUED 28/11/08 |