Orange County NC Website
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RESUME' <br /> Name: LV L G /-/-X /M �. <br /> Mailing Addres a <br /> Zip Code _Z 7A 7 <br /> Telephone: 3X ;Z __a 7X Home Business <br /> Ethnic Background: Black Indian White - Other <br /> Sex: Male A- Female Age: 15'/ <br /> Education: (Hi hest) <br /> Occupation: /9 9 M 611�- A <br /> Community Inte ests and Activities: 4F S S /A /V d3 <br /> That segment el county or population would you represent <br /> (Not applicabl in some instances) <br /> I am i nterests i n servi ng on: r 1V Q y S r fe t 4. IZ— t 7 - <br /> CTt <br /> Date: 2- ,Z 72 Signature -�- t_ <br />