|
<br />01/08/2001 MaN 17; 09 FAX 6127852859
<br />
<br />CITY OF CIRCLE PINES
<br />
<br />@OOJ
<br />
<br />V. :..,.;(,,~,2-,
<br />:~. ~~~
<br />, .
<br />
<br />ei!
<br />
<br />
<br />I
<br />
<br />CITY OF CENTERVILl.E
<br />CITY OF CIRCLE PINES
<br />em' OJ: LEXINGTON
<br />
<br />APPUCATION FOR JOINT POLICE COMMISSION CHAIRPERSON
<br />FULL NAMc'(PLEASE PRINT OR TYPE) MD.'(~ :!oe..\'-.V\ .Jb h"w'\.Sa "I"'\.
<br />ADDRESS L{ 3 ;>...;)... f'I". C h.w. ~ ~ 0" ~ S *-, Sh..?re If :t.~ I Shd.(,
<br />YEARS AT THIS ADDRESS Lf (/ " YEARS UVED IN AREA d. 'I
<br />TELEPHONE: HOME (,)f - 4 o~... 0,", g WORK 'I.J. ~ do 7:' -0/ r.r
<br />
<br />PI..EA9E SiATE ReASONS FOR DESIRING APPOINTMENT TO JOINf ~'CE COMMtsSION
<br />I A "'" ~j ;^..f-w...1.-f..t!.eI ~~ ~ (ltlC..f( ; J qr "w ~-
<br />l.A.~ ~--R f..1. If ).tN.. s,t. ,f s (. c.w-" /.s. i' ~t t-o Ot.-r CA. ~ 'tz..~ S;
<br />{ I.IJU Vw{ J 't(a..;.o Y-Ju.,;:..t... t/v...f CotAlcI f.J,,,1tt' h~1-e (J6s":i1'tety "fa
<br />~ Cotnmc"Z/"1\ .
<br />
<br />QUALIFICATION INFORMATION
<br />
<br />EDUCATION: 8A UN' tJ - D F ,.,.. N ,A-I\f"D .t.Atc..67V,.) Ci:u,..t.6G €
<br />
<br />EMPLOYMENT, OCCUPATION{S), OR OTHER EXPERIENCE PAriGIII7 Jfefl!.~.sGNr4 tlo..l6 I
<br />
<br />~~rII t€1.Ar11oN s I ;:41 t ,.11I; IV - fJ. ~ nlt:(t. S 17'f ~ I' 4 f.. ce '" me }
<br />
<br />Pf.6110~~ "^At4~ f,"I~6 ~f TfCMSPMl.TA-TI6rJ; ~~ViSIe. lilt..
<br />,,~.tz:nJ' c-L:.r... -rv . _ {"'l( At ~Mt(,IjoSp;( :\
<br />,)~HMlI 7 . ~ l" ,) I OtJ.{t. ,.,..AN AGEl:. Fit.i'i''i'~'INo.I- tt. nW. ItfLrI. ~ )
<br />
<br />MEMBERSHIPS, ACCOMPLISHMENTS OR OTHER QUAUFICAT!ONS: ("~':'fr)
<br />~~ c1~ tfAo~j I/,'~ ~I lJ,...".J I S- et)' c.J... 'r.: ~ ,"r ,F .
<br />
<br />LtssdC::. tl- Mt.~/1.irtt- .fck:,./ D,',j-jy;r;, fr; cJ.A,'Y 7OvJ~ tw~ As.!1It:..J
<br />
<br />~"V of Tvffe b.u'h~ (&-"r';'w~ ~ I~I\} ror-s f:)~r)i
<br />
<br />. I
<br />/yJv- SII' ~/' ~ of vdlv-.~ ;V'JdwlJ/.s. I ~kJ,^,k.. ,'''''
<br />e~"",-, "n;~ % ()~ '&.,..., ~ Vl d/~ .
<br />J :pI. attach resljtll or other hifonnatlon you consider plrtlnlnt"'*
<br />
<br />iJ,J~~ k>l~3,,100.
<br />
<br />Signature Date ' ,
<br />
|