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r <br /> RE S UME <br /> Name of Nominee! tr L CkS Z. 4 <br /> Mailing Address, x.........,. .!� <br /> r <br /> _s ,� �.� 7] C'.ode <br /> �.,.. �t° �Cx�nr p a'?•LO_3 <br /> Telephone: Home ��-�(� 1 ���Y - Business �e.lTn . <br /> .ethnic Background: Black- . Indian White ✓ Other <br /> Sex: Male Female <br /> Age <br /> Education: (Highest) INN LR MI,c. Oco.A IltrIS10- (.Aftl y�i.a��� <br /> Occupation: <br /> Community Interests and Activities/. <br /> � I�iILTJ-g. <br /> YfcfC& G /eL ' <br /> 31 <br /> e"A I'/.1 L <br /> I I <br /> Nomina.te�: to Represent what area of County <br /> (Not applicable in some instances) <br /> Boards on which I am interested in serving are:' <br /> . _._ � I � r.. <br /> Date: <br /> Az <br /> Signature of Nominee <br /> L . = <br />