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7 <br /> STATE HISTORIC PRESERVATION OFFICE <br /> NORTH CAROLINA DIVISION OF ARCHIVES AND HISTORY <br /> AFFIRMATION OF RECEIPT <br /> TITLE VI, SECTION 504 NONDISCRIMINATION INFORMATION <br /> The signature below affirms receipt of a green and white poster bearing <br /> the slogan "Equal Opportunity is for Everyone" repeated in a number of <br /> different languages. Beneath the slogans is the following statement: <br /> This program receives Federal funds from the National <br /> Park Service. Regulations of the U.S. Department of <br /> the Interior strictly prohibit unlawful discrimination <br /> in departmental Federally Assisted Programs on the <br /> basis of race, color, national origin, age or handicap. <br /> Any person who believes he or she has been <br /> discriminated against in any program, activity, or <br /> facility operated by a recipient of Federal assistance <br /> should write to: <br /> Director, Equal Opportunity Program <br /> U.S. Department of the Interior <br /> National Park Service <br /> P.O. Box 37127 <br /> Washington, D.C. 20013-7127 <br /> In receiving a federal historic preservation grant administered by the <br /> Historic Preservation Office, the organization named below agrees to abide by <br /> these nondiscrimination requirements. The poster received will be placed in a <br /> visible location where it will remain throughout the grant period. <br /> Name Date <br /> Organization Represented <br /> Project Name <br />