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<br /> RESUME .
<br /> ' NAME: 41 is - --�.-�--�"�-'--
<br /> MAILING ADDRE S: /G24' fit(,&A..dur." 1:
<br /> • 4 , /• I"Y.aac i' ZIP CODE: ..-..._�:-.-• r •__ -.
<br /> TELEPHONE- c1 HOME /, BUSINESS
<br /> ETHNIC BP1CKGROUND: BLACK -INDIAN . ._._ WHITE ✓ OTHER -
<br /> SEX: MALE Y' _ FEMALE . * AGE: ,
<br /> EDUCATION: (HIGHEST) a � --- .- ----»
<br /> OCCUPATION:4 .,. ..� / .g,.R-i_ C... 4', / ,42,ey-,� - , ___ •
<br /> COMMUNITY INTERESTS AND ACTIVITIES: . -a„—:— .
<br /> 04 , — .'�a -, ` . , - ` - ./.r G f''l;,/�+ --- -
<br /> IN WHICH TOWNSHIP DO YOU RESIDE? ,,,.,,___.. . .r',„...,„-r
<br /> (not applicable in some instances)
<br /> _ _ ....e(,./2:3.. ...,...,_
<br /> I AM INTERESTED IN SERVING ON: .R ,
<br /> — —
<br /> —____ _. _
<br /> 4..
<br /> 4.
<br /> DATE: SIGNATURE: 6 !,. _ . .e. 1 re
<br /> RETURN 9O: Clerk to the Board of County commissioners
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