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<br />required information <br /> <br />J, Occupation present employment - paid or unpaid <br /> <br />m <L ()/ 6- -G'U e it(' f O( t2 C grv. <br />occupatiO. n. ackground . p.revious mp'?yment- p1f!t:..unpsid l?r . J' . Ii ~ <br />\0" Oe. Pf~;~t1\J (/1I;i (, C "~I ~/dr& I "Ia I/ll)e p\ (CQ'-IYH1'"n <br />S1n1e t2f-pr e,Q~1 to t II'e J tw ,.) 'i I eu~ 't'lJ<e i~qr__ <br />1ea.cJ,lelf I p~ (oClp>fCLh..y<. 'f'~V1Q~ . <br />J ~acil €r I uttl!-Iarao/ &) j ~ac/lter, L-} V("~'d\. ~ <br /> <br />(. tJ ,"'" S~ U} <br /> <br /> <br />oJ, educational background schools attended use attachment if needed <br /> <br /><,.". 'r:,' )"i~~";,; ':?-' ~:: f., 'i ,,' " ; i,{~::,:t:,!.: :i;;~';:;~~~~~~Ii;%;} ~:~" 'i i~:,~f~;,,' ,;, : ',,'~ '. <br /> <br /> <br />&It-~ . 'bd <br />Pd/ ~11 <br /> <br />other <br /> <br />oJ, prior governmental experience elected or appointed .~. /1 <br /> <br />.s+C~f-c. ee.p 'r (ere)leV1fc:<t~ 7~ 09">..-- <<-~o .' 'J0, _ 700( <br />O/'b/Vh.- Ch//li)'GI/!Jl Jr: ~J1CLi tC J., <br />o"ez/ZA CtJn11s'>tff. PJ< cIAlrBA a~4 ~([ /J4droFa/IA__<-.b~ <br />La.1Le ~;oJ~J'hA.IYlq.., ~ t:Iu Id ~t-. t::~u lit's/0r7c<-e ew-/c- <br />gtlrfJ~ ~ tJ I'kt /Ie 7Jztff'$? C!t?njU tJ rt. cJj tua-ezIU r r- '. " <br />fJ . r; L~tt~ H v/L' (leA ~ .b~a1/c11 ['tf'11 f-TZ; LCit HYlIf ~ r IC~/?~. AJ,.} e n-L <br />'/J' <br />By signing this document, I hereby state: <br />-+that I will accept the nomination for office indicated <br />-+ that I will qualify for said office if elected <br />-+that all information provided by me on thiS form, including my occupation, educational and occupational background, and <br />prior governmental experience, is true to the be$t of my knowledge <br /> <br /> <br /> <br />I;) - 20 - c;J;f <br />~ da~Sig7e~ '- 0 <br /> <br />>~. <br /> <br />(or office. USe only <br /> <br />FEB 1 9 2008 <br />CITY RECORDER' <br /> <br />RECEIVED' <br />DEe 20 2007 <br />CITY RECORDER <br /> <br />L1t~ <br /> <br />received by <br /> <br />I-z.j 'to. I'D +- <br />cash or check number <br />