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BOARD APPLICATION Pahrump Town Office 2100 Walt Williams Dr. 2100 E. Walt Williams Dr. Ny Pahrump, NV 89048 Pahrump, NV 89048 (1 (775) 727-5107 e County Administration (775) 751-7075 Name of Board: \J+roc’3 f Applicant Name: Today’s Date: co 5272 I State: I Zip: Home Address: cIty State: I Zip: I City: Mailing Address: Home Telephone: Other Telephone: E-mail address: Are you currently employed by Nye County: If yes, which Department: I have attached my resume/letter of interest: 1D2- OtP I (;Do -i I ‘hdpte om Yes El No Yes LI No El Please provide a brief description of your qualifications, experience, or interests that would be considered an asset to this Board: (Y ñcXtT’Q Pfe K C(s-ii-ô zr -Cwë I lVt j, 2hrwr\ ‘e L Cç— cn Armu -fx-cu’ crCA c retiecL seercno-frx5 tjY cn cclwe1 nm be of ow 1a( ww Psk- jc- cncJ I&u ber 4 2 (.cen4-1j hecc rne Jeuki rh2L &3 Ct \f.eWrat’’ f\c{UDca,t cmJ hei f) u- (tk&I Ofl5 Cb urI1-t-l - c’-n O CCY3d. *ex’te4’ thJuj5 kI\LcY b and e c2 ( fl p3 no a I certify that am a QUALIFIED ELECTOR, that I MEET STATUTORY REQUIRMENTS of the Board area to which lam appl, and that the inform true and accurate to the best of my knowledge. Q,JDD ,ature The Boardhich you are applying meets at Ieot once a month and possibly evenings. Mail or deliver completed form to: Pahrump Town Office 2100 E. Walt Williams Dr., Suite ltlOO Pahrump, NV 89048 (This document becomes a public record once it has been received by Nye Countyl OPEN MEETING LAW Person interested in applying for membership on a Board should be aware of the requirements of the Nevada Open Meeting Law under which all Boards are governed. The Nevada Open Meeting Law, NRS Chapter 241, declares legislative intent that all public bodies lincluding 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. Ver. 1.1. Administration - Nye County, Nevada November 3,2009 Nye County Board Application Nyc County is an Equal Opportunity Employer and Provider RECEIVED