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Home  Virtual Exhibits Resettlement Documents Resettlement Petition - Part II
Resettlement Petition - Part II
Petition Image (38k)
PETITION
We, the householders of ______________, an isolated community comprised of __________householders, hereby agree to move
and request assistance under the Household Resettlement Act (April 15, 1965).
PART 2
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Place of
Resettlement |
Proposed
Date of Move |
Living
Arrangements |
No. in
H. Hold |
Children
School Age others |
OCCUPATION
Present Intended |
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number
number
(Use additional sheet if the space here is not sufficient)
This is to certify that _____ of _____ householders living at
________________ have signed this Petition and we are enclosing
SIGNED: ___________________________
completed forms on the communities to which householders intend to move
Local Committee Chairman
Dated this __________ day of ________month, the year 19__.
___________________________
Members
___________________________
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