JAN 4ON10.32
City of Fortuna
APPLICATION FOR APPOINTMENT TO
CITY BOARD/COMMISSION
Name of Board or Commission: HistoRicAL CommissieN
Applicant Name: L DON G. Whitehead
Home Address:
Mailing Address (if different):
Home Phone Business/Cell Phone:
Email Address:
Education: GRAduAted FRoM Live DAR UNieN Had SchooL -1938 Length of Time in the Fortuna Area: Since 1959
Retired
Present Employer:_
Job Title:
Orations with you are any none: FoR tude Kiadis, Be Scotts " Reason for wanting to serve on this Board/Commission: Jesy interested in ANY AReA of HistoRicaL NAtuRe. Have Adozen Facebook sites
Expertise you bring to this Board/Commission: WAs Chairman of the FoRtUNA PARKS 4 RecReAtiON FOR A FeW YeARS 9 WAS A MeMbeR of 4he ScotiA 4 Rio DeLL VoL. Fire Dest's.
neelere Deike. TowN or Scotia Acconatant
2. OdeLL SheLtan- Sheltens Auto Lobe
Won A. lon 1/4/2022
Signature Date
This application will be kept on file for six months.
Board/Commission Application
1 Page