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• <br /> _._ .,._. _.... ,_...-....... . _ ______ <br /> Rzsuma <br /> zamz: P4-f -N. PA-4,-.<&- <br /> MAILING ADDRESS:. c2,-1—...S BC X. . o 7.— <br /> At- 1. - AL.c... . ZIP CODE:: .. 7.3e-a.- - <br /> TEZEBSONE:. ,..6-6 a- r717. tram 73,:p-3 F76, =SINEW <br /> =MEC BACKGROUND:- BLACIC NA ENDIAN WHITE OTHER <br /> :SHE: MME. ' PEMArz K - ace: ,-)-. <br /> EDEECIAMMINE:: enaszsr-_:,„4-, , : •••A_ -4— t, A.,4* C"'-Usr FlA-'A ilArrt, .17,ki' <br /> OCCUPATION& V---v,."pAr.4 iP,_x.o.7 <br /> I <br /> COMkUNITZ INTERESTS =II AETIVrrigS.t Vic 4-4Ar Ren I T 4V.,..V–/4-''''Pl...QA.;— <br /> . 1 <br /> • IN ?MICE TOWNSHIP Da VXE RESIDE? :4-e../l r1-V, 66ce,14;--1-z_i <br /> tnot applicabIe ink some instances) ( <br /> E Abt. INTERESTED', IN SERVING' ON- :' . 'c"f °. <br /> Pcivi So,c71 acu rk: ci / <br /> DATE: <br /> - ?2-- SIGNATURE: <br /> . 411111 RETURN TO Clerk to' the Board of County Commissioners <br /> ID& K.. Margaret Lane <br /> Hillsborough,. N., C. 27278 <br />