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<br /> NAME:
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<br /> MAILING ADDRESS:
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<br /> • PO Box 2443 . . .
<br /> - zre CODE: - -..-:•:-.... *,
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<br /> Busirtrzs . .
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<br /> LEpRONE.: 1.' 067-3000 --...*---:-"t• 96.1-1(Ina•
<br /> • Tr,
<br /> tqarrE_x_._. oTREEt
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<br /> grommour••••••• •
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<br /> Pali.14IC BACKGROUND: /3' IA- CK -/ND. T-414
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<br /> AGE: 48
<br /> FpnALE X
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<br /> SEX MALE •
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<br /> . , I (HIGHEST) ' - C°
<br /> iriU CAT/ON: ' IHIGR
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<br /> OCCUPATIONF
<br /> Self employed - 'Buihaess consultant
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<br /> COMMUNITY INTERESTS AND ACTIVI —TIES:
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<br /> Please se atteched de-tai.1 ed resume.
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<br /> f Feb. 1, 1983
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<br /> Csrrboro as o
<br /> IN WHICH TMIliqIIIP
<br /> (not applicable in no * some
<br /> DO YOU RESIDE?
<br /> instances) 308 Bolin Creek Drive
<br /> Bolin Forest, Carrboro
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<br /> t commi4si071
<br /> AM INTEllESTED IN SERVING ON: ._.
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<br /> First Choice: Orange County Econcrm,' lc Development
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<br /> Second Chcace: NOruransxgnesConuonmteymPvlainsnorinyg
<br /> Third ChOicet: cBouonaradii_ _. •• • -------------Tor Orange
<br /> ' County Water and Sewer Authority
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<br /> January 23, ;1-983 . SIGNATURE.
<br /> Verna Jay or
<br /> DATE 1
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