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<br /> Plea-le return to Ms. Nary Lou Bouley, Cler to th-
<br /> RESUME, &range Co. Comm., Hillsborough
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<br /> Name: /b.,,...4 " dr
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<br /> Mailing Addrejs: ,/ i, .2 Ar
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<br /> I . , al.„ ...e, Zip Code ..,2)72,7,1
<br /> Telephone; 71.32 27i2--Home - 7$2.—....icil Business ' .
<br /> Ethnic Backgrolfind: Black 1„.,,1„n9m-- White Other
<br /> Sex: Mal e Female Age: ,,,.,7----- •
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<br /> Educe tion: (Highest) / .. 4
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<br /> Community Interests and Activities:
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<br /> —In which towns[hi p7inu reside? /4 r
<br /> (not applicable in some instances)
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<br /> I am interested in serving on: Orange Counts Board of Health
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<br /> Date: Si gnature
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