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SE 4'hSt. Pendleton. OR 97801
Umatilla County is seekingvolunteersthat reside in the Milton-Freewater areato serve on the committee to advise the Board of Commissionerson the possible formation of a specialdistrict to provide ambulanceserviceto the Milton-Freewater ASA area.
Name of Applicant: StreetAddress:
Home Phone: Occupation: Business Address:
1. I would like to be consideredfor appointment the committeebecause: to
2. I havethe following skills, training and interests that would be beneficial:
3. Other comments/information: