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AGENDA ATTACHMENT IV <br /> RE.SUME <br /> &Z-Z-4 1219 <br /> Name of Nomin(i�e: <br /> Mailing Addre�s : LIC <br /> Z ip Code 5 IV <br /> Telephone: Honte 6 .1[I "Y Business <br /> — <br /> Ethnic Backgr und: Black Tndian White Other <br /> Sex: -Male Female <br /> Age: <br /> Education; (Highest) C-,)s bk,7�, s Au"l-i C, <br /> Occup ation: <br /> 1017 <br /> commun fy Int rests and Activities 14 <br /> ce, <br /> ........... <br /> Nominated to eDresent what area of <br /> (Not applicable in some instances) <br /> Boards on whi I am interested in serving are <br /> Date.- Signature of No <br /> mi ee <br />