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NPS Forth 10 -900 <br />United States Department of the Interior <br />National Park Service <br />OMB No. 1024 -0018 <br />National Register of Historic Places Registration Form <br />This form is for use in nominating or requesting determinations for individual properties and districts. See instructions in National Register <br />Bulletin, How to Complete the National Register of Historic Places Registration Form. If any item does not apply to the property being <br />documented, enter MA" for "not applicable." For functions, architectural classification, materials, and areas of significance, enter only <br />categories and subcategories from the instructions. <br />1. Name of Property <br />Historic name: South Bend City Cemetery <br />Other names /site number: Burial Grounds, Oak Ridge, Oakwood <br />Name of related multiple property listing: n/a <br />(Enter "N /A" if property is not part of a multiple property listing <br />2. Location <br />Street & number: 214 North Elm Street <br />City or town: South Bend State: Indiana County: St. Joseph <br />Not For Publication: F-1 Vicinity: ❑ <br />3. State/Federal Agency Certification <br />As the designated authority under the National Historic Preservation Act, as amended, <br />I hereby certify that this — nomination request for determination of eligibility meets <br />the documentation standards for registering properties in the National Register of Historic <br />Places and meets the procedural and professional requirements set forth in 36 CFR Part 60. <br />In my opinion, the property _ meets — does not meet the National Register Criteria. I <br />recommend that this property be considered significant at the following <br />level(s) of significance: <br />national _statewide _local <br />Applicable National Register Criteria: <br />A B C D <br />Signature of certifying official/Title: Date <br />Indiana DNR- Division of Historic Preservation and Archaeology <br />State or Federal agency /bureau or Tribal Government <br />In my opinion, the property _ meets _ does not meet the National Register criteria. <br />Signature of commenting official: <br />Title : <br />Date <br />State or Federal agency /bureau <br />or Tribal Government <br />