No preview available
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