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<br />required information <br />.J, occupation present employment - paid or unpaid <br />V 1-' ~..t? !/#C- ~ t)R <br /> <br />occupational background previous employment - aid or unpaid <br /> <br />. I;: /~ C-- J- /S 1/. .r f3-1l c--ll;3/f <br /> <br />oJ, educational background schoolsattended, useattachmentifneeded <br /> <br /> <br />!~ <br />/1 <br />35.13- <br /> <br />rft/?~ 1,5"/1- <br /> <br />other <br /> <br />.J, prior governmental experience elected or appointed <br /> <br />~!fY C-t?I/;YC~/!-[J!( <br /> <br />By signing this document, I hereby state: <br />-t that I will accept the nomination for office indicated <br />-t that I will qualify for said office if elected <br />-t that all information provided by me on this form, including my ocqupation, educational and occupational background, and <br />prior governmental experience, is true to the be$t of my knowledge <br /> <br /> <br />-- <br /> <br /> <br />RECEIVED <br /> <br />RECE\\IEO <br />. j~N 1 t 1008 <br />C\1'l RECORDER <br />