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Please provide details of your order:

Cemetery		Section
Plot		Grave

Special Instructions:

I hereby give MonumentUSA permission to access cemetery records as it pertains to this order.

Permission to use a photo of this Headstone for advertising purposes:

Yes No

Inscription:

3986 Teakwood Dr, Mississauga, Ontario, Canada L5C 3T5
TEL: 905.232.4454 FAX: 905.615.0613
website: http://www.monumentsusa.com/ email: sales@monumentsusa.com