Orange County NC Website
Browse       Search
�— even �. <br /> Nave: � . .1.. L � (�G. �1 - <br /> G1 ?D L6'cC;or l 4 Code �., <br /> Mailing Address: r Zip <br /> r`- 4 r '^^� d ' ------ Business~ 4 6 -et 3 Home Other Telephone: tShi to �._ <br /> Black Indian __r_._ ,• <br /> • round: '_r , <br /> Ethnic Background: Age, ! ??_, <br /> !ti <br /> Male Female ..�- � s <br /> Sex: c- �o t.0 dos• <br /> Gam- , <br /> Hi hest) �a5� � ...���:�,�,.�.S�-�esw�-- <br /> Education: E g (-.��-�cka.N.e-e. C�'�.�,L.s� <br /> Occupation: <br /> CommunitY Interests and Activities: , u a ^^- y acylf-` <br /> CL5W-AA " a •i 0,,--' 7 , g-ft,-11 t)--4A- , -.,--0. iti:L: -,---cf,LI a. &et,— - Illi ...1,---..-e% - ../ f.t-e-1 -,v71,/. ,.\ . . <br /> e ,....:,v,„ ,....„...„ c2R..1110W5 711,1, " &,,1.41, .1-f-at, '' . . <br /> In <br /> which township do you reside?(not . <br /> not applicable in some instances) <br /> serving on: ��aWS <br /> I am interested in J• �. •- � 6� T)o�� '� <br /> { P <br /> � L 'tiro- � � � ��� �arS� �✓Glr�-` <br /> yw•C C. <br /> • r f . 2 • <br /> r <br /> .. . „ . . <br /> j Signature • 0A---A--/A, <br /> Date: 1 , , <br /> . oard of County C©mn?lssioners <br /> Retu to* Clerk. to the Board <br /> 106 g. Margaret h <br /> Hillsborough, NC 27aneZ78. <br />