City of Bondurant
Fire Department
Brick Dedication
Donating or purchasing a brick will mean you are helping with the
purchase of new equipment and needed supplies for the Bondurant Fire
Department. Your donation or purchase will go for desks, tables, benches, a
flag pole and much more at the new Public Safety Building.
This project is also meant to give the residents of Bondurant a sense of honor by adding a brick with
their name, a dedication, or meaningful quote. This Brick Dedication is part of our new Public Safety Building. The engraved bricks will be used as a walking path around the flag pole and along the sidewalk in front of the new Public Safety facility.
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The Brick:
4X8
The Brick: 8X8 |
4X8 1.___ ___
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2.___ ___ ___
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3.___ ___ ___
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8X8 4.___ ___
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6.___ ___ ___
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Name: |
Size
QT Cost Price Total |
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4X8 _____ $30.00 = ___________ _________________
8X8 _____ $60.00 = ___________ |
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Phone: |
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I hereby acknowledge that I have
read this application and that it is correct. The City reserves the right to
monitor brick applications. _______________________________________________________________ Sign
Brick Purchaser Date |
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Address: |