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APR-08-2008 18:12 From:T0Y0TA OF PARIS 903 784 0808 T0:903 785 8519 P, 1'1
<br />BOARD/COMMISSION/COMMITTEE APALICATiON
<br />'fhe Paris City Crnmci! is seeking committed individuals who arc dedicated to the well-being of the Paris
<br />community to serve on its standins boards, commissions, and committees. In general, it is the City
<br />Council's policy to appoint persons to a maximum of two consecutive full throe-year terms on n given
<br />body. In addition to the general qualifications listed in the certification below, other qualifications may be
<br />mandated by statute, City Charter, ordinance, or resolution. I'Icase wmple[e the information requested
<br />below and return to: City Clerk, ISU SE First StreedP.O, Sox 9037, Paris, Texas 75461.
<br />BoardlCommission/Committee ar interest
<br />[~ Airport Advisory Board ^ Municipal Dand Commission
<br />^ Building & Standards Commission ^ Parisll-amar County Board of Health
<br />^ Civil 5trvice Commission Q Planning K :coning Commission
<br />UQ r..~onomic i~evelopment Corporation ^ Public Libn[ry Advisory Boani
<br />^ Historic Preservation Commission ^ Tratiic Commission
<br />^ Housing Au[hority Board ofCommissioncts ^ %oning Boats of AQjustmcnt
<br />^ Main Street Advisory Board
<br />Caadldatc rararmatioa
<br />Name:
<br />Address:1~2 D 5: t v iR -.fq F Pit /t " s ~ ,c ~~ y L Z
<br />Work Phone: , 3 - ? $ K - '~ 5 'bq Home Phone: 9 ~3 - ? $ ~ - 0 ~ is s+
<br />Fax: 9p3-'79V- ~$o~ L-mail Address: ~Icn.~4w<anU{-.~.T~o}n~i,r,c~M
<br />Please note any special knowledge, education, or experience you have that is applicable to the function of
<br />the board, commission, or committtx of interest (attach additional pages if necessary), IFapplicable, list
<br />dates of service on any City boards, commissions, or committees,
<br />- /7A~NCt.„it pC4R>r~ 1,,.- F'NsMet L"ncr Ce,+,egr_ UN,~„ts t-y
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<br />'~ SERvt-_D o.J N,iM£r..,,s 1 •ac~v ¢ iV.[ ~'y' OAiCOr,
<br />i-O~A~ RuS,~tSS a,.,.+~i Te,~.rir of ~Rifi3
<br />CcrtfficatMn aaa Autkoriaation
<br />9y signing bebw, I aekru~wtedge that I ant aware and Agree to the prohibltrons of the City of Paris Charter and the laws ol'the
<br />State of Texas regarding nepotism and conltfck ofinterest ofappointaes to Ciry boords, anmmifsinns, and wmmitrecs. I also
<br />certify that if appointW t will attend at mast 75 percent of all regular meetings end shall not have any delinquent intkbtednees
<br />to the Ciry during my term, 1 wtdctstand thnr the number of positions nn a given ttuard, commission, or committee is limited
<br />and [hot I may ,tot be appointed; however, if t ant not appointed, I agrtic rn be plarcd in a dotabase (ir p!ssiblc future
<br />notification of topics of imertxt. 1 certify that the infottttation given by me in [hts applicotion is true and croReCl and any tblse
<br />inl~rmotion or misrepresentation is sufficient grounds I'or diiquetificetion. I aurhorire the City nt' Paris [0 verify all
<br />lnfonnation provideA in rhia application. In accordance with Section 552 of the Local Cavemment Code, I utxlerstand [her
<br />inlbmtation provided in this ap iceto[1,[[tay bo avaiF m the public upon request.
<br />Signature ofCandidate: /)'t/'~ Lit ~ ~ ~ vats. ~ g / o g
<br />1... t - - .~_.,_-...__....,__..._. _.....__...._.....
<br />GatAictof.tattrgt Y I.,~V..IttdeWedurant:.~'.1 N_I.Vytetittq-~X!_N Aht,:_I 4. 4J_P.[avJai>r.Senicea~P L~.J:.4,,~ 6_.~_
<br />City of PgHs ••
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