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Page 1 of 1 <br />L <br />Thomas H. Heffner <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 />Mr, Thomas H, Heffner <br />103 Porter Place <br />Chapel Hill NC 27514 <br />919-929-0518 <br />919-929-4637 <br />919-929-0758 <br />theffner@chapelhillnc.com <br />Chapel Hill <br />Male <br />Caucasian <br />Boards/Commissions applied for: <br />Equalization and Review Board <br />Work Experience: <br />Volunteer Experience: <br />Education: <br />Other Comments: <br />STAFF NOTES:On 12/4/03, address change sent to Glerk's office from Colleens Clark, <br />Secr, To ABC Board: Old Address :103 Porter PI, C,H, 27514. New address: 6014 Old <br />Field Drive, GH, NC 27514. Renewed his application on 5/28/03 for the Alcoholic <br />Beverage Control Board. Renewed application 3/19/2003 for E&R Board. Renewed app. <br />6127/01 for Affordable Housing Advisory Board. Renewed app. 3/1/01 for E&R Bd. <br />Renewed 2/00. Originally applied 02/24/93 for Board(s) app, for: E&R Board. <br />This application was current on: 3/4/2004 Date Printed: 3/t7/2005 <br />