BOARD OR COMMISSION APPLICATION FORM
DATE: 1/24/2022
-ICk
RECEIVE Check one: New Appointment
Re-Appointment
Library Commission
VAMEREB I homaS KAUN
HOME ADDRESS
ZIP CODE: 94806 HOME PHONE: 45531-5155 WORK PHONE:-
OCCUPATION:_ Retired school librar an EMAIL ADDRESS: tomkaun egmalcom HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND:201 20 years PLACE OF EMPLOYMENT:_ Retired
lace liary access in
EDUCAtasters degue in library serence (MSL5)
REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
1. ROBERT YOUNG-BaN GOUTRIDGED
2. Dan Lent s
3. Denise Raven 241 Homestead die Sampall eR 4430
4. eRRy Grobe 2433 1
Thomson. Store 3602
To the best of my knowledge the information provided is true and correct:
Jan 31, 2022
Signature Date
Deliver of Mail to: City Clerk Or Email to: [email protected] 450 Civic Center Plaza
Richmond, CA 94804
For Office Use Only: New Appointment: Reappointment: • • 1st 02d • 3rd