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BOARD APPLICATION Pahrump Town office 2100 E. Walt Williams Dr. Pahrump, NV 89048 (77s1727-sto7 iramr oI Boerd: \./ElEra"4<- f)a\y,r.r,r. - O" \ Appll.ant Namei tzl, ( G"^t-err- Tod./5 t .t : d504L'l zDzS ttof,e roonii ) 2-lSO cuc.r'3-ene 9frce f dt$ (7o*rt-^,,t Stata: ziP: 87ot o Address: erJ 50 J(erle gttet- I la+>,r**l State ^tU zip.. 87' . t ho^.rL oL Vg'ft"nt Mu=0n11'rnni'4*-ac' brscusvl ' prnc( u).+ieo*< Ll u- gopal"':\ U 4elrt}-'c^E lo Nr€ County is atr Equal Opporarnity Emplo}lr and Provider ---PAGE BREAK--- BOARD APPTICATION Pahrump Town Office 2100 E. Walt Williams Dr. Pahrump, NV 89(N8 (77s1727-sto7 Nye County Administration 210O Walt Williams Dr. Pahrump, NV 89048 l77sl75L-707s llem€ of Bo.rd: tVE ma,ent A)u/tsap y /zn rt r /zZE H4dntr Apdkam ll.m.: GREQox.y (AF,DAa€LL I Tode/s Drte: y'.tr.aaas Hol'E fddlas: Jart Pnus, r/rzal nre 42 otY: ?AttBune State: 4 ,P?a4,? Mailina Address: cty: state: ligl tlonIe TeleptEaE: olrt.Tderh@: y'6?.2,7D7 E{rd.dir.s: {tk t t Ym g N CS t/2 nD /L .O tt7 Ar€ you ctnpaoyrd ly V. vo!m\ tf y6, rrhidr txparrm.rt: I hcve .tt dEd my .t.ori*/tetw of vcEmEL Please provide a brief description of your qualifications, experience, or interests that would be considered an asset to thisBoard: hC ?At7/airtt4N>eE eF)oy'-r'f/AtratdFzE 7 /gnisI.r - r NV -Cltr: RN..t,rn.D 4b na:-.dt! h. 4t r) ktl t\ GtY: ,iL&I addr.s: ir.o-o" E