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Opened in 1827, many of Middletown's founding families are buried here. Located on 1st Avenue, the Middletown Historical Pioneer Cemetery, also known as the Middletown Cemetery or the Middletown Pioneer Cemetery, began as four acres of land surveyed by James Heaton, and set aside as a potter’s field. The plot of land expanded by two acres in 1863, and five acres in 1869. On May 25, 1878, the Middletown Cemetery Association was organized. The cemetery was run by the association until financial difficulties caused it to close. Financial responsibility passed onto the City of Middletown in 1947.
As of 2021, the cemetery is home to around 7,000 burials, and is the resting places of some of Middletown's earliest settlers. The USGS “GNIS” identifies the cemetery as the “Middletown Cemetery.” Some residents call the cemetery "Pioneer Cemetery" as many of Middletown’s founding families are buried here. Not all graves have tombstones, as some have been buried and removed from the cemetery. Some gravesites have been relocated by families from the Middletown Cemetery to other cemeteries. Those removed to Woodside Cemetery and Arboretum may find more accurate records at the Woodside office.
The Middletown Public Works Engineering Division maintains the records of the cemetery.