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bNPS Form 10-900 OMB No. 1024-0018 (Rev. 10-90) United States Department of the Interior National Park Service National Register of Historic Registration Form This form is for use in nominating or requesting determinations for individual properties and districts. See instructions in How to Complete the National Register of Historic Places Registration Form (National Register Bulletin 16A). Complete each item by marking "x" in the appropriate box or by entering the information requested. If any item does not apply to the property being documented, enter "N/A" for "not applicable." For functions, architectural classification, materials, and areas of significance, enter only categories and subcategories from the instructions. Place additional entries and narrative items on continuation sheets (NPS Form 10-900a). Use a typewriter, word processor, or computer, to complete all items. 1. Name of Property historic name South Bend Remedv Companv Buildina other names/site number 141-56150-598 (oriainal site) / 141-598-33034 (current site) 2. Location street & number city or town 501 W. Colfax South Bend state Indiana code- IN county St. Joseph 3. State/Federal Agency Certification ❑ not for publication ❑ vicinity zip code 46601 As the designated aL�thority under the National Historic Preservation Act of 1986, as amended, I hereby certify that this ❑ nomination ❑ request for determination of eligibility meets the documentation standards for registering properties in the National Register of Historic Places and meets the procedural and professional requirements set forth in 36 CFR Part 60. In my opinion, the property ❑ meets ❑ does not meet the National Register Criteria. I recommend that this property be considered significant ❑ nationally ❑ statewide ❑ locally. (❑ See continuation sheet for additional comments.) Signature of certifying officialfritle Date Indiana Department of Natural Resources State or Federal agency and bureau In my opinion, the property ❑ meets ❑ does not meet the National Register criteria. (❑ See continuation sheet for additional comments.) Signature of commenting or other official State or Federal agency and bureau 4. National Park Service Certification hereby certify that this property is: ❑ entered in the National Register. ❑ See continuation sheet. ❑ determined eligible for the National Register. ❑ See continuation sheet. ❑ determined not eligible for the National Register. ❑ removed from the National Register. Date ❑ other (explain:) Signature of Keeper Date of Action