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As a Member of Congress, it is my privilege to be able to officially recognize outstanding public achievements by the people who live in the 1th Congressional district.
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Contact Information:
First Name:*
Last Name:*
Street Address:*
Address 2:
City:*
State:* Ohio
Zip Code:* +4 (Determine your ZIP+4)
E-mail Address:*
Telephone Number: (Daytime)
Telephone Number: (Evening)
Honoree Information:
First Name of Honoree:*
Last Name of Honoree:*
Street Address of Honoree:*
Select Type of Recognition:* Appointment to public office Awards or honors Citizenship Eagle Scout Election to public office Gold Star Graduation Heroism Military academy appointment Other achievements of public distinction
Exact Date of Occasion:
Please provide other necessary information below: