Renovation Project: Maryville's Centennial Memorial Fronting Hwy 159 & East Division Street In Honor of our Veterans, Miners and Professional Ball Players Make your check payable to the “Village of Maryville” Return completed form & check to: Village of Maryville Attn.: Treasurer 2520 N. Center St. Maryville, IL 62062 Questions regarding your order? Call Joe at 618-973-2500 or 288-7422 “Buy a Brick” Engraved brick price list: See last page for samples of bricks/stones 4” x 8” brick is $70.00 Your Name: Your Address: ________________________________________ ________________________________________ ________________________________________ Your phone Number: ( )_________________________________ 4 x 8 brick 13 characters and spaces per line, 3 lines $70.00 _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Revised 9/17/2015 Renovation Project: Maryville's Centennial Memorial Fronting Hwy 159 & East Division Street In Honor of our Veterans, Miners and Professional Ball Players Make your check payable to the “Village of Maryville” Return completed form & check to: Village of Maryville Attn.: Treasurer 2520 N. Center St. Maryville, IL 62062 Questions regarding your order? Call Joe at 618-973-2500 or 288-7422 “Buy a Brick” Engraved brick price list: See last page for samples of bricks/stones 8”x 8” brick is $120.00 8” x 8” BRICK ON A “LIGHTED BRICK PIER” COST $600 Your Name: Your Address: ________________________________________ ________________________________________ ________________________________________ Your phone Number: ( )_________________________________ 8 x 8 brick 13 characters and spaces per line, 6 lines $120.00 _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Revised 9/17/2015 Renovation Project: Maryville's Centennial Memorial Fronting Hwy 159 & East Division Street In Honor of our Veterans, Miners and Professional Ball Players Make your check payable to the “Village of Maryville” Return completed form & check to: Village of Maryville Attn.: Treasurer 2520 N. Center St. Maryville, IL 62062 Questions regarding your order? Call Joe at 618-973-2500 or 288-7422 “Buy a Brick” Engraved brick price list: See last page for samples of bricks/stones 12”x 12” Grey Granite Stone is $250.00 -- with Logo $300.00 Your Name: Your Address: ________________________________________ ________________________________________ ________________________________________ Your phone Number: (______)______________________________ 12” x 12” Gray Granite Stone 18 characters and spaces per line, 9 lines and/or LOGO (Subject to review by the engraver) $250 or with LOGO $300 ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ Revised 9/17/2015 Renovation Project: Maryville's Centennial Memorial Make your check payable to: VILLAGE OF MARYVILLE Fronting Hwy 159 & East Division Street Return your completed form & check to: "In Honor of our Veterans, Miners and Professional Baseball Players" Village of Maryville, Attn. Treasurer 2520 N. Center St., Maryville, IL 62062 Questions, call Joe at 618-973-2500 or 288-7422 16" x 16" Grey Granite Stone with or without Logo is $600 26 Characters and spaces per line 12 lines ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ ___ ____ ____ ___ _ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ ___ Revised 9/17/2015
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