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City of Sault Sainte Marie <br />Parks and Recreation Department <br />225 E. Portage Avenue <br />Sault Sainte Marie, MI 49783 <br />Phone (906) 632-5768 <br />12ublicwork@sault.com <br />www.saulteity.co <br />Memorial Tree and Park Bench Donation Application <br />Name: Date: <br />Address: <br />State: <br />Phone #: <br />Email: <br />City: <br />Zip Code: <br />Fax #: <br />Please indicate if you are interested in donating a memorial tree or park bench. <br />Memorial Tree ❑ <br />Memorial Park Bench ❑ <br />Please indicate if you are interested in donating a memorial plaque. <br />Yes ❑ No ❑ <br />Please describe the location you wish to place a memorial tree or park bench. <br />If you wish to donate a memorial tree, what type of tree would you like to donate? <br />If you wish to donate a memorial plaque, please describe what you would like to be written on <br />the plaque: <br />Please enclose a non-refundable deposit of $250.00 and return to the Parks and Recreation Department office. <br />Prior to tree and/or bench installation, remaining balance must be paid in full. Receipts will be provided. <br />Please make checks payable to: City of Sault Sainte Marie <br />Please Note: All iocations-o(memorial_tree-or__park -bench,_ty_pe_of-trae, and_ plaque_ display-must_be <br />pre -approved by the City <br />