PLEASE BE AWARE THAT THIS QUESTIONNAIRE Will

BE PUBLISHED.

The News-Herald
Election Questionnaire

Date questionnaire

completed:

()

9/.;211; I r
I -rr:::.,.i

Office sought: --L1'1-tl...!dCj'~}/-Jj

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Name: Age:

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Political party: ---"",:rf;;LJn~~::;gc";,,p4';;,o:Lo~ct;;:z...t:.eUo'-L-/-

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Employer:

Gender: Male / ~(circle

one)

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Home address:

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Ktihrd

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Length of residence in that community: Occupation:

Campaign Web site:

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Marital status:

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,27/ {:- employed (lordrcu'--.)/l{ fY/ic}-oe I

Name of spouse:

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Name and age of any children:

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Political office held

Municipality

Years served

Elected or appointed?

1. 2.
3.

4. 5.

Education:

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High School College Graduate Other

School/city/state ,1..-+/-'0... -(0

Years
I1Q

Degree-Subject or Certificate

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(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 obtained.)

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

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