CATHOLIC CEMETERIES OF THE ROCKFORD DIOCESE ORDER FORM – SPRING 2015 DESCRIPTION DECEASED NAME PRICE TAX 9.25% 54.95 5.08 SUBTOTAL = PRICE + TAX 60.03 39.95 3.70 43.65 31.95 2.96 34.91 39.95 3.70 43.65 32.95 3.05 36.00 21.95 2.03 23.98 14.98 1.39 16.37 29.95 2.77 32.72 24” silk wreath, with tartan plaid bos, Christmas ornaments, white tipped pine cones, white bird, on a 36” easel. 14-2015: 20” silk wreath, gold, silver & red poinsettias, Christmas fern and ornaments, red with gold trim bow on 30” easel. 13-2015: 18” wreath, silver and gold bell ornaments, white tipped pinecones, red cardinal, red bow with gold trim on 24” easel. 2015-T: 20” wreath, red peppermint ornaments, pine cones, berries, red bow with gold trim on 30” easel. 2015-W: 18” wreath with double red bow, white tipped pinecones, berries, on 27” easel. 15-2015: 10” rosebud/carnation bouquet with holly, a reindeer, Christmas greens and pinecone. 16-2015: rose, carnation, Christmas greens and ivy make up this festive bouquet for your niche vase. 2015-Q: 16” silk wreath for Mausoleum, pine cones, double velvet ribbon, red berries and holly. QTY. CATHOLIC CEMETERIES --- DIOCESE OF ROCKFORD --MT. HOPE CEMETERY 1001 VILLA ST. ELGIN, IL 60120 (847) 468-6910, (847) 468-6909 fax www.rockfordcemeteries.org NAME: ADDRESS: CITY: STATE: ZIP: PHONE: CREDIT CARD TYPE: (CIRCLE) MASTER CARD VISA DISCOVER CREDIT CARD NUMBER EXPIRATION DATE: SPECIAL INSTRUCTIONS: CVV CODE (ON BACK OF CARD) TOTAL = SUBTOTAL x QUANTITY
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