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NOTICE OF APPOINTMENT BY THE COUNTY COMMISSIONERS <br /> TO THE <br /> COUNTY BOARD OF SOCIAL SERVICES <br /> <br /> TERM OF APPOINTMENT <br />JVL¥1, 1998- JUNE 30, 2001 <br /> <br />Date: <br /> <br />This is to notify the NC Department of Health and Human Services Division of Social Services that the <br />County Commissioners of the above-mentioned county have named as their appointee to the County <br />Board of Social Services the following person: <br /> <br />Name <br /> <br />Address <br /> <br />City Zip Code <br /> <br />Race County Commissioner: yes no <br /> <br />Signature ,Clerk <br /> <br />Board of County Commissioners <br /> <br />Please see information regarding eligibility for board membership on the reverse of this form <br /> <br />PLEASE RETURN THIS FORM TO: <br /> <br />Kris Horton, NC Division of Social Services <br />325 North Salisbury Street <br />Raleigh, North Carolina 27603 <br /> <br />Please also forward a copy to your county director of social services. Thank you. <br /> <br />/7. / <br /> <br /> <br />