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OCT 2 '~ i989 <br /> DOHICILIARY ~O~E CO~ITY ADVISORY COb~IITT~ ~ 0 <br /> <br /> ~UBMI~ ~Y DATE ~'" <br /> <br />The tabards ~uuty Board of ~iosionera sincerely appreciates .the interest of ~1 citizens <br />_i~.~y~ty advfso~ conferees ~d urses the public ~o nominate qualified persons for ~bershi[ <br /> <br /> Coheres ~y Board of Co~ss~oners <br /> Post Office Box 707 <br /> ~ncord, North Carolina 28015 <br /> <br /> ~or ~rl iufo~[iou~ applicants ~y ~evie~ ~ the ~y ~naier~s Office the respoustbiiiciel <br /> of rations adviso~ bodies. <br /> <br /> NOMINEE BACKGROUND INFORMATION: <br /> <br /> NO. HO~S AVA~LE PER ~NTH FOg THI~ POSITION <br /> <br />AREAS OF EXYEKTISE AND INTEF. EST/SKILL$ <br /> <br /> I understand that this application will be kept. on the active file for <br /> two years, only. <br /> <br /> Signature of ~p~lican~ <br /> <br /> <br />