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The following form was submitted via your website: Application for Board s/Committee/Commi ssion <br />First Name: douglas <br />Last Name: wehnnan <br />Address: 1050 wilburn <br />City: Paris <br />State: TX <br />Zip: 75460 <br />Telephone (903) 123-4567: 903-785-1837 <br />Areas of Interest: Economic Development Corporation <br />Please note any special knowledge, education, or experience you bave that is applicable to the function of the <br />board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of <br />service on any City boards, commissions, or committees.: Owened and operated a successful physical therapy <br />clinic for over 35 years. Formed tirst and only successful joint venture between two competitive hospitals. Very <br />active in developement of programs for children in atheletics. Very active in community activi.ties, church, <br />industry and medicine. Resume available if desired. My passion has been with Paris since 1 moved here in 1975 <br />and Paris has been very good to me and my family. I want to keep jobs in Paris and work hard to bring further <br />employment to our community. I know I have the skilis to make this happen and I'm willing to go the extra <br />effort for Paris's success. <br />Certification and Authorization 1 acknowledge that I am aware and agree to the prohibitions of the City of Paris <br />Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City <br />boards, commissions, and committees. I also certify tnat if appointed 1 will attend at least 75 percent of all <br />regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that <br />the nuinber of positions on a given board, commission, or committee is limited and that I may not be appointed; <br />however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of <br />interest. I certify that the information given by me in this application is true and correct and any false <br />inforniation or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify <br />all information provided in this application. In accordance with Section 552 of the Local Government Code, I <br />understand that information provided in this application may be available to the public upon request.: Agree <br />Additional Information: <br />Form submitted on: 6/8/2010 1:45:04 PM <br />Submitted from IP Address: 99.36.149.76 <br />Form Address: http://www.paristexas.gov/forms.asqx?FID=69 <br />187) <br />