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08-05-'10 16:01 FROM-MSUSA 6512249753 T-240 P0001/0007 F-560 <br />MOW' <br />1J1�LG .l 1O V <br />the city that iwrks hrr you <br />Advisory Commission & Task Force Application <br />Date D8/s/'.)oIO <br />General Information <br />Name Wc�er <br />Last -1 <br />Address .2% <br />First <br />City, State ZIP Ne, W Q r,�cn , MAZ S -S 1 l 2 <br />M.I. <br />Phone /)IA N11' 761, _?w. %213 <br />home Business Cell <br />Email Address <br />Commission/Task Force <br />Public Safety Commission <br />Economic Development Commission <br />Planning Commission Civil Service Commission <br />Park, Recreation & Environmental Comm. _ NWQ Financial Strategies Task Force <br />Availability Check all Preferences) <br />1� After work, early evening _ll Evening, after supper —Early morning <br />List specific days or times you are not available <br />Personal Information <br />List any related work/education experience: <br />vhoc ,} am -We- }o can-Ovc is �anc 46e. s�i)k. <br />