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PLEASE BE AWAR.

E THAT THIS QUESTIONNAlRE Will


,

The News-Herald

Date questionnaire

Election Ouestionnalre

Office sought:

Political party;
Name:

Age:

BE PUBLISHED.

completed:

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Gender:@1

Female (circle one)

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Home address:

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Length of residence in that community:

Occupation: OWrf/ulL/!J,~PJ/4p/ll
Marital status:

Campaign Web site:

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Employer:

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Name and age of any chil~ren:

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of spouse:

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Public office experience:


Municipality

Political office held

Years served

1.

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Elected or appointed?

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experience

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02/13/12

MON 17:53

[TX/RX

~/6~

NO 7710]

Education:

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Degree-Subject

Years

Sch001/ city/state

or Certificate

High School

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Other

(Note: Onlv-list schools frot~ which you've graduated

(Note: If you've completed

and/or earned degrees. Please indicate if currently attendlng.)

progra m, please list in '''Other''

a certificate

row and indicate certificate

Should you be elected, what are three specific areas you'd like to change, address,

obtained.)

improve or further research, and how

If ea trltflaui"7/t7,//,/,

specifically would, you go about it?

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02/13/12

MON 17:53

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