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Cten teryiffe <br />Ma6ti"I'M W1 ' <br />CITY OF CENTERVILLE <br />PARKS, TRAILS, AND RECREATION DONATION AND MEMORIAL APPLICATION <br />Name of Donor: <br />Address of Donor: <br />Phone Number: <br />Email: <br />Description of Donation: <br />Desired Location of Donation: <br />Projected Required Maintenance, if known: <br />Wording on Memorial Acknowledgement (if any): <br />Monetary Amount of Donation: <br />If space is limited above, include necessary information in an attached letter describing the <br />donation and how the proposed donation meets the applicable criteria outlined in the City Parks, <br />Trails, and Recreation Donation and Memorial Policy. <br />Donor: Date: <br />