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..:IT; .rWr=+. # c' ` 3 g 7T� I ? l� � Yx+w- ` 7.ti74z,* t„t •'l'i�ti -I'rin• yiR,„ii 4• _70 r„~�;► <br /> •s; <br /> " c,a ar. . ��' 3r 4 ' "F nr t --.,5. •ti�.r. "A•:C ' �� " „� As '• <br /> .,,-o t_ ,� ...ff ,i 1."r •c t' r 4 Y , -1t1T• :' . .-.rt ;r i Y . k.)A `� vY '- r <br /> z . .. s s t'? ;n r c ? >•, : s a ,, �� " Yi l'.-'"'''. <br /> k <br /> 4 t•.. , H. , 1 4 " jd � + <br /> . <br /> 1s Y . <br /> • b0„n• »Ce1��'- l • <br /> Name: - <br /> hailing Address. loo As 'Zip Code _ .; <br /> Business <br /> 9a 8 9-__..Noma '.y - -�' _. <br /> Telephone. ” t'lhite„ Other "�. _..° _- <br /> Ethnic Background: Black , _. Indian ._.._ 1 ' <br /> Sex: i4al a !„ r. Female+�!_•.._. Age: ,,,�. __ . <br /> Education: (highest) j [d,M ._ .,, , e s a�?ow ,.ded .i <br /> Occupation: EXecu-�iJc3ire� av l � <br /> • Community Interests and Activities; ' - vim;totj <br /> --3.111LAIP-4i' ' P A <br /> h township do you reside? _`—1, --- ._ ~ w • <br /> In which.. <br /> (not ap1icable in some instances) z <br /> • ?� _..r S . s k_. r�5re <br /> T am inter sted in serving on: �. •. --;— r <br /> L . <br /> .., nature T ��, �; �� , l /.. <br /> Date: /0- <br /> o Clerk to the Doard of County Commissioners • <br /> Return .7 14)6 g. 1'lair9aret Lane <br /> _ • iiillsborough► NC 2.778 . - <br /> • <br /> , <br />