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2. Village of Hartland
   Foundation and Headstone Marking Request
   Village of Hartland Cemetery

4. This form must be completed for the marking of any base or headstone in any Village cemetery. Form must be submitted no earlier than two weeks prior to the work being done and no later than 48 hours prior.
   Failure to return the completed form in the specified time frame will result in a request denial.

6. Owner of the plot:*
8. Name(s) as they are written on stone:*
10. Plot location(s):*
12. Base/foundation dimensions:*
14. Headstone dimensions:*
16. Flat stone?*
    -- Select One --YesNo
18. Single or multiple plots:*
    -- Select One --SingleMultiple
20. Number of plots:*
22. Date of pour or placement:*
24. Requested by:*
26. Engraving facing east or west:*
    -- Select One --EastWest
28. Order of deceased names from left to right:*
30. Base/foundation contractor name:*
31. Base/foundation contractor phone:*
33. Monument contractor name:*
34. Monument contractor phone:*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field