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<br />CASSCOUNTYGOVERNMENT <br />APPLICATION FOR BOARDS AND COMMISSIONS <br /> <br />RECEIVED <br /> <br />Board of Commission for which you are applying: '\ <br /> <br />MI<.GO 1i '/J( A.-'C (iVf4.159CMJ <br /> <br />SEP 1 5 2008 <br /> <br />CASS COUNTY COMMIe~ <br /> <br /> <br />YOUR NAME (Last, First, Middle) <br />)vi ( L-L F R.. ,1C' I-/IIJ <br /> <br />County <br />C~A-S>'5 <br />City <br />~f}t2k D <br />Business Phone Number <br /> <br />Legislative District Number <br /> <br />Mailing Address <br />363 DlCLtlf1f20 ?/ttc JC -[YZ I uC;::- <br />Your Occupation - Title <br />. ~K{cT6(( dJIJ/SloJ 'j)j:. {;I()~ <br /> <br />State <br />)JD <br /> <br />Zip Code <br />68/ D't- <br /> <br />Residence Phone Number <br /> <br /> <br />'70/-2'3/- 7732. <br /> <br />'/0 ( - 2/DO .-(bo L-- <br /> <br />Employer Name <br />N D~LL <br />Employer Address City State Zip Code <br />'~~ 569 I f:hZjj 0 1Ji) Sf I ()J-- <br /> <br />EDUCATION AND GENERAL QUALIFICATIONS <br /> <br />LEVEL NAME OF SCHOOL LOCATION No. Years Did You Major Course(s) <br /> Attended Graduate? of Study <br />High School 412~/)E fi7V '5/2./44H & Ie. ' ) ( L 4- V 'flU UJu.-6iE <br />College rfLbrzFHo)E5It)(N Li. t fJ./fAlSrW IL g V HI./fL C <br />Trade/Business/Correspondence <br /> <br />Indicate Dates Held <br /> <br />1/Jr(kd ,f.{d()r<.. t -f1<fS>. 2t;OO-- <br />{(' (f (lPm.A- - V ? .- 200 2- - <br />k f)Jlvf;ScfT ItPtJ&J C c@/JiO Pc7)cu;JL(t:AJi M($'~ilY t-ttp..{&7L 2003- <br /> <br /> <br /> <br />Memberships in Organizations <br />and Offices Held <br /> <br />Volunteer Activities <br /> <br />Indicate if Past or Present <br /> <br />Your Special Skills and <br />Qualifications <br /> <br /> <br />ou have known for at least one ear <br />PHONE NO. <br /> <br />Years <br />Ac uainted <br /> <br />JI t.L L ,/lZU <br />YoM E /21J ~ AJE: <br />0H. 12..1 L..c <br /> <br />/21 J-- II t;t-;rtJt: A- <br />'iD/ CJlZclft;P7.2.D ?,,( iY( <br />( ( () f L; 2 Aj.-P )kJ (:-;J . <br /> <br />23/~7'72D <br />:5 '---/7lf4- <br />232 . 3/1 3 <br /> <br />c: <br />';/ <br />/rJ <br /> <br />/6 <br /> <br />I certify that the facts contained in this application are true and correct to the best of my kno dge. I authorize investigation of all statements contained <br />herein and the references listed above to give you any and all information concerning m u.al' f' s an any pertinent information they may have, <br />personal or otherwise, and release all parties from all liability for any damages that m re' 0 furn' irJ.g t~~ame to you. <br /> <br />RETURN COMPLETED FORM TO: SIGNATURE Lt. t...ILLt <br />Cass County Commission a r- 7'\ [j <br />PO Box 2806 DATE /.-<.1 ~LJO <br />Fargo ND 58108-2806 <br /> <br /> <br />(Please attach a copy of your resume') <br />