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1. Name of Propertyhistoric name The Church of the Sacred Heart other nameslsite number VDHR 127-0676 127-0859-0244 2. Signature of certlfylng o f f c a l n t i e I Stare or Feoerai agency and bureau 4. Nat onal Park Service Certification i hereby cerilfy that thls propeny IS entered in the Nat onal Reg ster See contlnuatlon sheet q deterrnlned eilglble for the Nattonal Reg ster t determlned no ellglbie for the l removed from the Natlonal 0 other explain Signature of the Keeper Date of Hctlon...
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The 127 0676 form is a document used for reporting financial information.
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