JAN 29 PN12:15
City of Fortuna
APPLICATION FOR APPOINTMENT TO
CITY BOARD/COMMISSION
Portis & Rec
Name of Board or Commission:
trank mathes
Applicant Name:
Home Address:
Mailing Address (if different):
Home Phone: Business/Cell Phone:_
Email Address:
Education: 72 years of Life
Length of Time in the Fortuna Area: 48yezis
torturer
Present Employer: City of Eurete
Dabli WorKs Opertions Monagar (Tatinal (Tediral yars)
Organizations in which you are currently involved:
Reason for wanting to serve on this Board/commission I Store my Pa ceci with the idly More n an at he be i ank toily
Expertise you bring to this Board/Commission:_
Over 30+ yeer's of Plu, rogers for cifol fermble (parks) References:
Councilmen mike Jason, Job Nott, Brande Burial
2. Signature
This application will be kept on file for six months.
Board/Commission Application
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