RECEIVED
City of Fortuna NOV: 1 52022
APPLICATION FOR APPOINTMENT TO
CITY BOARD/COMMISSION City of Fortuna
City Clerk
Name of Board or Commission: Mecsure E Committee
Applicant Name: Joseph Herckestle
Home Address: Fortune, CA 95540
Mailing Address (if different):_
Home Phone: NA Business/Cell Phone
Email Address:
Education: Bachelors-History-UL Scute Barbara
Length of Time in the Fortuna Area: _ L yrs.
Present Employer: Retired
Job Title:
Organizations in which you are currently involved: Elks-Eureke Reason for wanting lo serve on this Board/Commission: To continue working site the City as the Chair ot the Committee Injoy it and feetitis Expertise you bring to this Board/commission: Two terms on the committee. important, Beakgroead in ports and lew enforcement.
References:
"Kent Bradshao, retired Fortune Chief of Police
2. Robent Merinez, Retired CHP
11/15/22
Signature Date
This application will be kept on file for six months.
Board/Commission Application
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