| Record no. | A553504 |
| Surname | BURGESS |
| First Names | DOROTHY JANE |
| Occupation | HOMEMAKER |
| Plot No 1 | 2995 |
| Depth of Grave | 5 |
| Cemetery | ASHBURTON CEMETERY |
| Plot Size | ASHBURTON LAWN SECTION |
| Age at Time of Death | 79 years |
| Date of Death | 21/09/2004 |
| Date of Internment | 24/09/2004 |
| Date of Purchase | 1/08/1995 |
| Purchaser Address 1 | 8A BUCHANAN PLACE |
| Purchaser Address 2 | ASHBURTON |
| Denomination of Deceased | PRESBYTERIAN |
| Name of Clergy Person | REV L FRUEON |
| Name of Funeral Director | PATERSONS FUNERAL SERVICES |