Veteran and Spouse Sacramento Valley National Cemetery: Please Fax To (707)693-2460 or call (707)693 -2460 to submit your request within 3 days. U

Marble Niche Cover Information: You may use this worksheet to write out the inscription the family would like on the Columbarium ANDERSON niche cover. Please give the completed form to the cemetery, or you RAYMOND L may call with the information. There are 10 lines of text available on a Columbarium niche marker. If an emblem of belief is requested, it MSG USA will be inscribed at the top. Any emblem of belief shown on the listing KOREA on the reverse may be requested. The first line is always for the last VIETNAM name and will accommodate up to 11 characters including spaces. The th 1935 2017 10 line (last line on the marker) allows up to 9 letters and spaces. All other lines allow up to 13 letters and spaces. Please complete ANNE MARIE inscription lines as indicated below. If the veteran will be the sole 1939 2014 decedent inscribed on the niche marker, all remaining lines may be used for additional inscription. *Items in * bold are mandatory on VA TOGETHER markers. All other items are optional. Move remaining inscription up AGAIN if an optional line is not used.

EMBLEM OF BELIEF ------à

1. *LAST NAME (11)

2. *FIRST & MIDDLE NAME (OR INITIAL) (13)

3. RANK & *BRANCH OF SERVICE (13)

4. WAR PERIOD(S) OR OTHER MILITARY SERVICE/MILITARY VALOR AWARDS (NEED DOCUMENTATION) (13)

5. *YEAR OF BIRTH / *YEAR OF DEATH

6. *SPOUSE OR OTHER DEPENDENT’S NAME (IF APPLICABLE) (13)

7. *SPOUSE OR OTHER DEPENDENT’S YEAR OF BIRTH / *YEAR OF DEATH

8. ADDITIONAL INSCRIPTION (13)

9. ADDITIONAL INSCRIPTION (13)

10. ADDITIONAL INSCRIPTION (9)

Date NOK Signature

Veteran and Spouse Available Emblems of Belief for Placement on Government Headstones and Markers

02 – Buddhist 03 – Judaism 04 – Presbyterian 05 – Russian 01- Christian (Wheel of 06 – Lutheran Cross 07 – Episcopal Cross (Star of David) Cross Orthodox Cross Righteousness)

08 – Unitarian Church

/ Unitarian 09 – United 10 – Aaronic Order 11 – Mormon 12 – Native American 13 – Serbian 14 – Greek Cross Universalist Methodist Church Church (Angel Moroni) Church of N. America Orthodox Association

15 – Bahai 17 – Muslim 20 – Community of 21 – Sufism 16 – Atheist 18 - Hindu 19 – Konko-Kyo Faith (9-Pointed Star) (Crescent & Star) Christ Reoriented

24 - Church of World 25 - United Church of 26 - Christian 27 - United Moravian 22 – Tenrikyo Church 23 – Seicho-No-Ie 28 - Eckankar Messianity (Izunome) Religious Science Reformed Church Church

32 – Humanist 30 - Christian & 31 - United Church of 33 – Presbyterian 34 – Izumo Taishakyo 35 – Soka Gakkai 29 - Christian Church (American Humanist Missionary Alliance Christ Church (USA) Mission of Hawaii International – USA Association)

38 – Lutheran Church 39 – New Apostolic 40 – Seventh Day 36 – Sikh (Khanda) 37 – Wicca (Pentacle) 41 – 42 – Armenian Cross Missouri Synod Church Adventist

47 – First Church of 46 – Catholic Celtic 43 – Farohar 44 – Messianic Jewish 45 – Kohen Hands Christ, Scientist (Cross 48 – Medicine Wheel 49 – Infinity Cross & Crown)

54 – Church of 56 - Unification 51 – Luther Rose 52 – Landing Eagle 53 – Four Directions 55 - Hammer of Thor 57 - Sandhill Crane Nazarene Church

63 – African Ancestral 58 - Church of God 59 - Pomegranate 60 - Messianic 61 - Shinto 62 – Sacred Heart Traditionalist 64 – (Nyame Ye Ohene)

Not Shown, copyrighted

66 – Wisconsin 98 – Muslim 69 - Heart 70 – Shepherd and Flag 67 – Polish National 68 - Guardian 65 – Druid (AWEN) Evangelical Lutheran (Islamic 5 Pointed Catholic Church Synod Star)