Orange County NC Website
Browse       Search
] t S , �'' �c n ti --t. <br /> ----4::',;- <br /> l� ^ " rA . r ? tr r'1'4Tl s': 5.s v . :?.,.-f-?-;,'-',: JP 2 . ``f <br /> ' r -:,- 3 '•i•-'t n ' 1 { s „g y. - <br /> r .r J 1 - . ``. M .y K r r r <br /> ': '''%::.t.:-_:::-..: ..:1"4::-:'`,: <br /> li <br /> name: D ,IA. .!- <br /> Address: �' i Z�-�.-,—.~-«.--- dip Cade � '� <br /> Mailing �, _________7.1,p <br /> ,_ �---- , <br /> �� w 2.,_ p "'• Bus"iness „ " <br /> Home <br /> Other ,_ r:,.` <br /> 0 <br /> ne: Mite Te1ep E3fi <br /> Black Indian . - — :c �_ <br /> Ethnic Background e: �- . _.. _ <br /> Sex. tlal � � �._ ,�y.�,,, r . /� " <br /> -' <br /> hest) + b Y%i�, . <br /> Education: ��19 ,� ' � - /' � �.�.= �: <br /> • and Activities: <br /> Cammunity '>vn erects --_• ..r i '44/': �' _.a , <br /> n t <br /> 4` JI �$t Erb f " <br /> In which t id ? ' ., " • : . <br /> (not applicable in same in _ <br /> iintere fed in serving on: . .. • ' -- •, <br /> " t � a <br /> ° S <br /> Signature , �. i <br /> i -I . / ..4/ <br /> Date-- 10 1; <br /> . County Caimrt�sslaners • <br /> # turn toil Clerk to the 8Qard of _" <br /> i 1Q6 k. Margaret Lane pa <br /> + Hillsborough, NC . <br /> • <br /> i <br />