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Description of Vermont
INCOMPLETE OR INACCURATE INFORMATION ON THE APPLICATION MAY RESULT IN ITS RETURN TO THE APPLICANT A DELAY IN RECEIPT OF THE HEADSTONE OR MARKER OR AN INCORRECT INSCRIPTION. Form approved OMB No. 2900-0222 Respondent Burden 15 minutes IMPORTANT Please read the General Information Sheet before completing this form. Type or print clearly all information except for signatures.
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omb 2900 0222
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