Fillable Veterans Memorial Park Engraved Paver Purchase Complete all (Village of Whitehouse)

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Veterans Memorial Park Engraved Paver Purchase Complete all (Village of Whitehouse)

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Veterans Memorial Park Engraved Paver Purchase
Complete all information and mail with payment. Questions: Contact Leroy Ryerson (419-877-5765)
Name of Purchaser
:
PLEASE PRINT (FIRST NAME)
(LAST NAME)
Address:
(STREET) (CITY) (ZIP)
Phone Email
1 - 8"x4"x2"
Paver
3 lines
-
14 characters per line (spaces count)
/
Cost: $150.00
1
2
3
4
5
6
7
8
9
11
12
13
14
(Engraver will center text. You do not need to do so)
For placement of paver in Park - Please indicate if this engraved paver is in:
Honor or Memory of a Military Service Member
Honor or Memory of a First Responder (Fire, Police or Emergency Medical Service)
Other
1- 8"x8"x2" Paver
6 lines
-
14 characters per line (spaces count)
/
Cost: $250.00
1
2
3
4
5
6
7
8
9
11
12
13
14
(Engraver will center text. You do not need to do so)
For placement of paver in Park - Please indicate if this engraved paver is in:
Honor or Memory of a Military Service Member
Honor or Memory of a First Responder (Fire, Police or Emergency Medical Service)
Other
Order Total: $ (Checks should be payable to Destination Whitehouse, Inc.)
Complete form and Mail with payment to: Destination Whitehouse, Inc.
P.O. Box 2570
Whitehouse, OH. 43571
CARL A. BARDER
1921-1984
WWII-ARMY
HYATT FAMILY
REMEMBERING
LOIS C. GORMEY
GARY LEE SMITH
VIETNAM
1966-1970
US MARINES
E-5 SERGEANT
OORAH!
STEPHEN
SCHNEIDER
WATERVILLE
FIRE DEPT
EMT
2001-2012
Veterans Memorial Park
Paver Sale
You can now be a part of the Park by purchasing an engraved paver. Honor your military service
member, first responder, family, an individual or an organization by purchasing an engraved paver.
These pavers will be displayed in the Park in three designated areas. The Areas are categorized by
military service, first responder and other.
Please remember that the Park is a solemn memorial to all who have served their country or their
community. Paver engravings should be in good taste and engraving requests will be reviewed before
orders are processed. Any questions regarding the pavers can be sent to whvemem@qmail.com
or by
calling Leroy Ryerson at 419-877-5765.
Paver sizes and costs are as follows:
1. 8"x4"x2" pavers $150.00
3 lines of engraving - 14 characters (letters, numbers spaces, punctuation) per line
2. 8"x8"x2" pavers. $250.00
6 lines of engraving - 14 characters (letters, numbers spaces, punctuation) per line
Sample engraving language:
8”x4”x2”
8"x8"x2"
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Veterans Memorial Park Engraved Paver Purchase Complete all (Village of Whitehouse)

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Completed 17 July 2020

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