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083 <br /> t4t <br /> RESUME' <br /> tAilifS11 cA.& -A) <br /> , <br /> Mailing Address: reey /e.. 5- 6 <br /> Zip Code a;,77,..607.... <br /> Telephone: 4/4- Home Business <br /> Ethnic BackgroUnd: Black Indian White- , Other <br /> Sex: Male Female ------ Age: <br /> Education: (Highest) A: ;necs ,g4,77; 2.3y i / 4 rez Cn ,4,141 <br /> Occupation: .5404,76 /41 <br /> Community Intelests and Activities: <br /> In which towntlip do you reside? 6f.g114,/' a-a)4-e. <br /> (not applicable in some instances) <br /> I am interested in serving on: <br /> - .- <br /> Date: 1/..!,7//if/ Signature : ..,60;/67, <br />