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HomeMy WebLinkAbout07/01/2002 Item 025 I REQUEST FOR APPOINTMENT I Precinct f1:,tru)/r Y :;t/ G .5" County/District jr)tJlf-,[{J[. '2.. I , i i I Requ~st IS hereby made to the Chairman of the above designated County/district, that the following named person be appointed to the office indicated below: PRECINCT COMMITTEEMAN Mr. EJ Miss i\1s IlfiJJvt :FE /l ~ II} C LII-~/I) Name as registered to vote i , or?' ?/ JC rJ ..vAl ILvt. Complete Street Address '1 Ga /'12. i?u 9"9',;( .is t{ L crf 'i: ~J I City I I State Zip I I I J ,(9~g)7t3~ 5/'T4 ( t'tt-'~) SS.3-Co:t V7 ,,' Home Phone Business Phone Reason For Vacancy: I Be certain to list the. names of the person as they are REGISTEREDI Please make sure appointees are registered to vote at the above address. Date: .5 i,u/o;;. Applicant's Signature ~~ /J!c K~ :=--:> .............~- Precinct Captain's Signature "..~r"---. ~ ---- ---. ....:- : County/District Chairman's Signature C< ,. . d5