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RESUME' <br /> Name: <br /> Mailing Address: <br /> Zip Code -R -?:0 <br /> Telephone- Home Business <br /> Ethnic Background: Black Indian White t,/ Other <br /> Sex: Male Femal e Age: a 7— <br /> Education: (Highest) &�meo� <br /> : IN N <br /> Occupation: 2N�Lk. KN C'- kkk cnc� <br /> V <br /> Community Interests and Activities: <br /> 0A 41�— TM M t4., <br /> What segment of county or population would you represent am <br /> (Not applicable in some instances) <br /> 9-o' 'Pb� <br /> I am interested in serving on: A , <br /> Cb k�vq\ t"Y\\111, <br /> Date: 1 U Si gnat u re C/Y,) <br />