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The News-Herald

Date questionnaire completed:

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lection Question

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Political party:

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Name:

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Home address:

Date of birth:

Length of residence in that

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Employer:

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Business address: Elected office experince:

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

Education (list degrees if applicable):

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Name and age of any children:

Name of

spouse:

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Additional comments:

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