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Application-Coleman, Ray CARAC 12-03-08
O~,t. 5. 7~J7 t':?OAM Secu~?One Pr,tect~c~ GG~ ~ 411 X Vr R e-,.AN'T~C BEAC~I N ~. ~.' 9 P, $QARD ! CO1VIlVtr~E DER APPI.~CATION ~4~ ! ' ~ ~olo~ Plwae cheat (~Ij each Bard cA conttnittee dat you are applyia~ to Bern ern: , (A summary of each bom~d/c~mnitte+e is available on p#ge 2 of this form.) J Code Baforcana~t Board Permian Bwrd of'Ctusrees ~ 0 Tree Cottasrvatfoa Board ~/3~oS ~ Cultural Arts and Rect+eation Adri~ry Cormnittee 0 Board Member Review Committee -~ APPLiCANT's NAZriE: ADDRESS: DAYTII~ PHONE: ZO~ ~_~?~ &MA1l. ADDRESS: EYENIN4 PRUNE: Z~ Q,S -- -_ raLtive to the tees fen: a ~©~ .~ ~~ ~~~~ ~~ t --~--t Pleaw rdurn completed fam m Derma L. Buaaesy, Gity Cte~rk, 8t}0 Samiraole Road, Atlsatic Bosch, FL 32233 Ple~aae erxplain a~}r aanptaybaeat rxpexid-'cG. boerd-committee e~cparieeme, sred/t~ earmnuwity vol~wtoer encperiance Please peavide a brief oocplNatioa afy~t interest efr any epeaal gnaliftcatiaus yon have in this fueld attd yonr reasons for arishiag to be appaintad m this bomd/cc~aittex.