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Page 1 of 1 <br />Pat Vandiviere ~~ <br />Volunteer Application <br />Orange County Advisory Boards and Commissions <br />Name: <br />Name Called: <br />Home Address <br />Phone: (Day) <br />Phone: (Evening) <br />Fax: <br />Email: <br />Place of Employment: <br />Job Title: <br />Township of Residence <br />Zone of Residence: <br />Sex: <br />Ethnic Background <br />Date of Birth: <br />Ms. Pat Vandiviere <br />4611 Orange Grove Road <br />Hillsborough NC 27278 <br />919-732-9825 <br />919-732-9825 <br />919-942-0586 <br />patvandiviere@aol,com <br />Bingham <br />Bingham Twnsp <br />Female <br />Caucasian <br />BoardslCommissions applied for: <br />Work Experience: <br />Volunteer Experience: <br />Education: <br />Other Comments: <br />Address change on 6/1/04 to 4611 Orange Grave Road, Hillsborough, NC. Applied <br />1 1/26/01 for Human Services Advisory Commission. Recommended by Tom Maynard, <br />Executive Director as OPC's representative. <br />This application was current on: 6/4/2004 Date Printed: 3/3/2005 <br />