This government document is issued by Commerce, Department for use in North Carolina
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https://www.google.com/url?client=internal-element-cse&cx=75d03469208f3471d&q=https://www.commerce.nc.gov/nc-workforce-development/workforce/training-center/wayne-daves-nomination-form.doc&sa=U&ved=2ahUKEwilzbbY7M-EAxV7BxAIHUb9DDY4PBAWegQICBAB&usg=AOvVaw1Yl8Kpch4SC38ax9Sf5QsH