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<br />City of CeDtervUle Business Penon of the Year <br />. Nomination Form ..a I'J (J ~ · <br /> <br />Name of Nominee: fJ~olf ;Fb,J Phone: 1- <br /> <br />Address: 1$5~ ltUtil Sh~'f-J_ ~J~VI.//"" <br /> <br /> <br />Please check and write in the name of organizations, groups, and committees in <br />which the nominee is actively involved i.e., city council, parks " recreation, planning" <br />zoning, EDC, Centerville Lions, Centerville Parents Association, Boy & Girl Scouts, Church <br />commi~ School involvement etc. Use "Other" for any not listed. <br /> <br />Y City of Centerville Committee: <br />-1?Pl!... <br /> <br />o Local Organization: <br /> <br />K Local Organimtion: '- ~ <br />JP)~ 1tJ;.~ ' · <br />, <br />o School: <br /> <br />o Church: <br /> <br /> <br />~ <br /> <br />o Other: <br /> <br />o Other: <br /> <br />Please list below the tasks that the nominee has accomplished during this past year <br />that have been of benefit to Centerville and its residents: <br /> <br /> <br />Nominated by ~,1&1? ce/H.; fit Date 5/.;()/14 <br />. ~ / . <br />Address: Ifr~ Ifl..m, ~/~, ~.,Jc(vl11<- MN ~~9 <br />Phone: (Jt;/- 1 (,). .,. 1 ~ 9 P <br />~: G,,~.,~~ <br /> <br />3 <br /> <br />11 <br />