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.. --... ~-:_r <br />r nR Ogg; CF t'cr ONT v <br /> <br />ORANGE COiTNTY RESIDENTS <br />._._., APPLICATION <br />• FOR SERVING ON <br />C02~2ISSIONERS' APPOINTED <br />BOARDS AND COI~IldISSIONS <br />Name: SHARLEN'E~ P 1 LKEY <br />Mailing Address: ROUTE 5, 80X i21B; HILLSBOROUGH, NC Zip Code: 27278 <br />Road or Street Name: <br />Telephane Home: : 732-338+ Telephone Business: 684-2206 <br />Ethnic Background: Black Indian White X other <br />Sex: Male: Female: X Date of Birth: <br />Occupation: Research Assistant with SeaGrant Program (Part-time) <br />Community Interests and Activities; : Former member of Planning Board, <br />current member of ABC Board, Democratic Party and precinct activities <br />Please check the Township in which you reside: Bingham . <br />,-,.. . <br />Cedar Grave Chapel Hill Cheeks X Eno <br />Hillsborough Little River. Xs your residence in the <br />extraterritorial area of a municipality? Yes X No. <br />on the reverse side of the application rank the Boards/Commissions is <br />the order of interest, with A 1 being the first choice of volunteer <br />service. <br />Remarks: <br />g , <br />• Date: ~~~~•/ Signature : <br />Return to: Beverly Blythe <br />Clerk to the_Board of County Commissioners <br />~- 109 Court Street <br />Mailing Address: P.O. Sox 818], <br />Hillsborough, North Carolina 27278 <br />