Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAbout10/20/2008 Item 008
REQUEST FoR APPOINTMENT
/J jJ)tJ/kJe,
Party: Je;J dIiJ{}//U Ceaal}':
. f;g. I"nciud_U . J/tJIJlJ;jJIJ / (i 4/;-
District #I: I Request is ller-eby made to the MoIlraYe CouIIty Boud of s.,.e. ..:-as dial die fODowiDg
person be appoiated to tile oIJice Ad;"~ 1JeIow:
- j . ,~.
PRECINCT COMMlTC):EMAN "'oi' 'I..,r.~.
,..J.,.',i'::"_' Jl;'.
,C~,~ 0 ;~:~;:{)
Mr. M.s. - 8 ;/e!eN IltJ/711 JlA'ScWIh'LT
Namc(MUSTBE AS OM Vva-glt&GlSl"RA"nON CAlm) ,........ "'p
.. /./,.. .
.,:, lS'o/.'.;.;/:.
r;{Jrj tj/P fe/lr!fJ(!k L) L
Street Address (MUSrBEAS ON VU-IZK Rl:GJsrRAnoN CARD)
. k1tJ{jm/lJJ Ilz 8/;101
City Siam Zip
L}2.g-/t;8/-a651
Home PhOBe BIISiaess Pbooe
Reason For Vacancy:
Voter RegistnltioD #I
Applicant's Signature: BaR: r;jJ5/m
, I ';c/c9
Date: / c. /
ft
District Chairman's S-~tare: Date: ~
. ----
County Chairman's Siguature: Date:
SultmitteCJ to DOS: Approved:
.
- fm(i()lJUt(j@ (!jiM/(, /lee