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FOR STATE COMMISSION USE ONLY <br /> <br />Date Application Received: <br /> <br /> Official Name of State Bicentennial Commission <br /> <br />Chairperson: <br /> <br />Approved By: <br /> <br />Date Sent to National Commission: <br />COMMENTS: <br /> <br />(Signature and title of authorized officer) <br /> <br />FOR FEDERAL COMMISSION USE ONLY <br /> <br />COMMISSION ON BICENTENNIAL OF THE UNITED STATES CONSTITUTION <br /> STATE/LOCAL AFFAIRS DIVISION <br /> 736 JACKSON PLACE, N.W. WASHINGTON, D,C. 20503 <br /> <br /> BICENTENNIAL COMMUNITY CLEARANCE FORM <br /> <br />DATE RECEIVED: J REVIEWED BY: DATE: <br /> I <br />CHECK LIST: <br /> [] 1, State Approval [] 2.List of Members [] 3. Program [] 4. Signatures [] 5.Other (see rem~rl~$) <br /> <br />REMARKS: <br /> <br />RECOMMENDED FOR APPROVAL BY: <br /> <br />JDATE: <br /> <br />· DATE: <br /> <br />APPROVAL GRANTED BY: <br /> <br />NOTIFICATION OF DESIGNATION <br /> <br />JSTATE: J COMMUNITY: <br /> <br /> <br />