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SEP-21-2011 12:41P FROM:GRRDE LINE. INC.

440-968-3855

TO: 14409752293

P.2

PLEASE BE AWARE THAT THIS QUESTIONNAIRE WILL BE PUBLISHED.

The News-Herald

Date questionnaire completed:

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Election Questionnaire
Political party: __
Name:
Age:

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Home address:

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Length of residence in that community:

Occupation:

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Marital status:

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Employer:
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Campaign Web site:

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Name of spouse:

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Name and age OfanYChildren:_~~~'~~~_~~~~~~I~.~~~~I~:~~~~~~~~'~~~~~~~~/~~~~~'~l~~~~~,~~~~~~~~L\

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Public office experience:


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Years served

Municipality

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Elected or appointed?

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Non-elected experience (committees, boards, etc.):

09/21/11

WED 14:41

[TX/RX NO 9824]

5EP-21-2011 12;41P FROM:GRADE LINE, INC.

TO: 144097522'33

440-968-3855

P.3

Education:
School! city/ state
High School

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Years

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Degree-Subject or Certificate

College
Graduate
Other

(Note: Only list schools from which you've graduated and/or earned degrees. Please' indicate if currently attending.)
(Note: If you've completed a certificate program, please list in "Other" row and indicate certificate obtalned.]
Should you be elected,what

are three specific areas you'd like to change, address, improve or further research, and how

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Whether for past accomplishments or future goals, why should voters elect you? ~~~~_~~~~~

09/21/11

WED 14:41

[TX/RX NO 9824]

SEP-21-2011

12:41P FROM:GRADE

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TO: 14409752293

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LINE, INC.

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WED 14:41

[TX/RX NO 9824]

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