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RESUME <br /> of Nominee: / Z <br /> Name , <br /> Mailing Address: <br /> o-- <br /> Zip code <br /> Business <br /> Telephone: Home -- — <br /> Ethnic Background: Black � Indian <br /> White other <br /> Sex: Male Female <br /> Age: <br /> Education: (Highest) Z2 <br /> occupation: <br /> Community Interes s a d Activities <br /> Nominated to Represent what area of County_, � ��� if • <br /> ( of ppljcable. in some instances) <br /> Boards on which I am interested inserving are. <br /> Signature v Nominee <br /> Dater <br />