Work Order for Foundations and Setting 25 South Main Street Dover, Pa. 17315 Office 717-292-2621 Fax 717-292-7936 E-Mail: info@baughmanmemorials.comCustomer#* Date Submitted* MM slash DD slash YYYY Name* First Last Phone*Preneed or Name?*( Choose "Name" if person is deceased ) Preneed Name Name of Deceased* First Middle Last Date of Death* MM slash DD slash YYYY Name of Cemetery Address of Cemetary Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Section Number Lot Number Location of LotType of Burial* Traditional Burial Cremation Style of Monument Upright Slant & Base Slant Bevel Flush Bronze Not Applicable Base Size Add for Margin Marker Size Add for Margin Description of WorkFoundation Location (see below) A B C D HiddenFoundation Completed Date MM slash DD slash YYYY HiddenDate Set MM slash DD slash YYYY Foundation Completed by First Last SignatureCommentsThis field is for validation purposes and should be left unchanged. Δ