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<br />required infDrmafiDn <br />J, occupation present employment - paid or unpaid <br /> <br /> <br />U <br /> <br />occupational background previous employment - paid or unpaid <br /> <br />fi.-Id A10t/l c<fe ~ - T LA/I 'd1c. <br />Tve~~vr/e'- - fV'~LCA.-iA" ~K.e 'fTJ L/of 0 <br />Co-.a~pcror-NiU L---~ (A, '. <br />(~M.#~'7 .A-r 7'""'1'/''2 Y. 'e~ - /!J~ v r! - r: Wi/lAtf? Ir e ~uA <br />J, educatfonalbackground schools attended, use attachment ifneeded <br /> <br />(cM4vvt~ ~ot <br /> <br /> <br />other <br /> <br />J,. prior governmental experience elected or appointed <br /> <br />Z Y~V--l C(L~/u'f A:c-rvVc;ivr:J il~(/d ~ <br /> <br />{~C~C- ?t~t-~ <br /> <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 />fJriJH'fI')\{effJ.{!Jlfn~fiJL~)[ii;l!rience, is true to the best of my knowledge <br />\. .:r t'--~"; \/,. -~;.: ,...~J \;'iJ _~~_,~~} J' ~ . <br /> <br />~.,.,: <br />:.'-', \.: ':, J _ > _ -'i =,'-1'; <br />'. I . <br /> <br />.- .' ,',' ~&OCl, <br />.......:. "':-' ,.' : :"-~". _ _ . ,,-'~, '.. _. ~ _ ",. _ 'k.. _ . , <br />1~n~L ,"sI~e '.. .,.~ <br /> <br />~()ocf <br /> <br />05 !!Z:j6~ <br /> <br />This information is a matter of public record and may be published or reproduced. <br /> <br /> <br />for office use only <br /> <br />RECEIVED <br /> <br />cash or check number <br /> <br />MAY 1 7 2007 <br />CITY. RECORDER <br /> <br />received by <br />