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(9-1C-381 <br />PARTICIPATION REGISTRATION <br />ADDRESS LIST REVIEW 1999 <br />Local Update of Census Addresses (LUCA) Program <br />United States Census 2000 <br />5 <br />_v ...., ...~ -~~. . <br />YESt Our eoknmu~i#}~.wautEtti~Cefo~pattieipate irr the Address fist Reviewr `: . <br />Program fitaGmert}~ tcnuvu~as t.UCP€~.ior census 20U0~ - .E . <br />~ _ k <br />lVcx,Fwe arm got: ai:i~Ca9 Qait1 ' .t"e ~~a r - ~~ ~ _~ p~ ,~~-'~ <br />~~ .~ ,o .~ ~ ~, ~ ti ~~~ .~, ; s ~ ~- T ,,~ ~ ,, -~~ ~.. . . <br />. ,. ~ f <br />:'` ~ ~~' max., tf> ,cat wau f,-iifCe Enarer`f~ ~-. `ix fokfie['~ decide i'ease cafe this'tol~free~ ,~ <br />. ~ ~ .... <br />,. <br />~efi8~('10~41~[T1E}eF:~ ~58~~68~8i_,,~~~ ~',~`,y'~f~,t~~" <br />- _. <br />~~ ,~. s <br />,~~, <br />UfIShcCtlon name (For example: Chesterfield county, SC: or city of Sacramento, CA; or Menominee American Indian Reservation) <br />C037135 -Orange County <br />ignature <br />Panted name (First, Middle, Last) <br />itle of highest elected official making this commitment <br /> <br /> <br />. ~ :ate failawr~t~persoc~ts.designafe~®u~;of~ra~tisiscinr~ir <br />.. <br />,,_ . <br />rorC~e~.fQf; tttei,e <br /> <br />. ~ ,. ,~. ..~~, ~; <br />~. <br />~~td~ress ~evte~ gEamm , <br />~~; <br /> .s~~. <br /> <br />Name ' <br />as co ~E VE <br />itle (If any) <br />GsS Q~,~~~-t-a2 <br />Department or Organization ' <br />O2 A~Gk ~oL•,r <br />Mailing address (Number and street or post office box) <br />P o ~ ox ~~~~ zoo S C ~M f~~o~ ST~ <br />ity fate ip Code <br />f~; C-fS[3ot2ad ~f1 ti G 2-127 P <br />e[e¢tx~ne <br />mb <br />; rea code Number Extension ,~~ ' ~ <br />~ rea code Number Extension <br />er . - <br />u °~ I °i ~ Z - ~/~'/ Z S o / <br />~~~.~ <br />~ 9 / ~j ~ %`~- 3Q/~ <br />Electronic Mail Address (If any) <br />(OVER) <br />BUPEiU CF 'NE ~E`~SUS <br />FORM D-1508 U.S. DEPARTMENT OF COMMERCE <br />