770-964-6014

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Name of Purchaser    
Social Security Number of Purchaser    
Date of Birth    
       
Ground Interment Rights    
Professional Services    
Outer Burial Container    
Bronze Memorial/Monument    
Memorial Base    
Installation, Adjustment & Re-alignment    
Memorial Inspection    
Administration Fees    
Endowment Care    
Sales Tax    
       
Taxable Items    
7% Sales Tax on Taxable Items $0    
Non-Taxable Items    
Click here to update total (This is MANDATORY)    
       
Total : $5950.00    


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