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20 <br />Page 1 of 1 <br />tester mebane sr <br />Volunteer Application <br />Orange County Advisory Boards and Commissions <br />Name: <br />Name Called: <br />Home Address: <br />Phone: (Day) <br />Phone: (Evening) <br />Fax: <br />Email: <br />Place of Employment: <br />Job Title: <br />Year of OC Residence: <br />Township of Residence: <br />Zone of Residence: <br />mr tester mebane sr <br />204 tinnin road <br />efland NC 27243 <br />919 563 0466 <br />919 553 0466 <br />mosesmebane@aol.com <br />retired <br />na <br />1948 <br />Hillsborough <br />JPA (Joint Planning Area) <br />Sex: Male <br />Ethnic Background: African American <br />Date of Birth: 2/24/1948 <br />Boards/Commissions applied for: <br />Hillsborough Planning Board <br />Orange Water & Sewer Authority Board of Director <br />Work Experience: <br />Department of Public Works <br />Private duty health care provider <br />Deveroux adult care provider <br />American Express <br />Volunteer Experience: <br />Community Cleanup <br />Walk for hunger(through the Church) <br />Crop walk(through the church) <br />Education: <br />Other Comments: <br />STAFF COMMENTS: Originally applied.1/13/2010 for Hillsborough Planning Board and <br />OWASA Board of Directors. 05/01/2011 updated OWASA Interest. ADDRESS <br />VERIFICATION: 204 Tinnin Road, Efland, NC 27243 is in Cheeks Township and Orange <br />county Jurisdiction. <br />This application was current on: 5/2/2011 Date Printed• 5/12/2011 <br />