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BOARD APPLICATION Nye County Administration 2100 Waft Williams Dr. Pahrump, NV 89048 (775) 751-7075 Please provide a brief description of your qualifications, experience, or interests that would be considered an asset to this Board; r c3 Th€ GCoiJ VS’.4( Oifr•1(>1 rT Th€ Z. (CS. 1 Ac iac’ ci J’J€ ‘l L’4fJ Z ô .j Vt3? OfN1 $QCCL PRQ., I certify that I am a QUALIFIED ELECTOR, that I MEET STATUTORY REQUIRMENTS of the Board area to which I am d hat the i formation is true and accurate to the best of my knowledge. Signature The Board to which you are applying meets at least once a month and possibly evenings. Mail or deliver completed form to: Pahrump Town Office 2100 E. Walt Williams Or., Suite #100 Pahrump, NV 89048 (This document becomes a public record once It has been received by Nye County) OPEN MEETING l.AW Person interested in applying for membership on a Board should be aware of the requirements of the Nevada Open Meeting Law under which all Bcards are governed. The Nevada Open Meeting Law, NRS Chapter 241, declares legislative intent that all public bodies (Including Boards) exist to aid in the conduct of the people’s business and that it is the intent of the law that the member who takes action in violation Open Meeting law, with knowledge of the violation, is guilty of a misdemeanor and may be prosecuted. Wrongful exclusion of any person from a meeting of the public body Is also a misdemeanor. Any time a majority of Board members gathers together in a place that has not been legally posted per Open Meeting law requirements, they cannot discuss or deliberate on an action. This does not preclude members from gathering together; it does require that they do not discuss and deliberate on County or area business. Pahrump Town Office 2100 E. Walt Williams Dr. Pahrump, NV 89048 (775) 727-5107 NameotBoard: To oç PAHMP 9A(Z Ft)Vico(Z’( (CoMm-r.€ Applicant Name: Todays Date: DAv 4cQcZ Home Address: Cily: State: ZIp: e. L(64 S. NV’ Mailing Address: City: State: Zip: So €(fe.b( Home Telephone: Other Telephone: j Emall address: 1W? (77S’) 764’-Ide Are you currently employed by Nyc County: If yes, which Department: I have attached my resumefletter ci interest: YesSNoD so vesQNo Ver. 1.1 November 3,2009 Administration — Nye County, Nevada Nye County Board Application Nyc County is an Equal Opportunity Employer and Provider