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RESUME' <br /> Name: All <br /> Mailing Address: q Dv k, <br /> 6b 4 V1 C- Zip Code 2 72-7Y <br /> Telephone: Home 731 --z-jq Business <br /> Ethnic Backgro nd: Black Indian White Other <br /> Sex: Male Female Age: -2 <br /> Education: (Highest) C- <br /> Occupation: <br /> Community Interests and Activities. <br /> 4r Ci:7- <br /> What segment of county or population would you represent <br /> (Not applicabl, in some instances) <br /> I am intereste in serving on: <br /> (2 <br /> Date: <br /> Signature <br /> Y <br /> .: � <br />