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<br /> <br />City of Centerville <br />Lifetime Achievement Award Nomination <br /> <br />Phone: <br /> <br />This prestigious award is held in very high esteem. This award recognizes outstanding past or present <br />residents who served the community over many years. <br /> <br />Please list the reasons why you are nominating this person for Centervilie's Lifetime Achievement <br />Award. Please include major contributions to the community, accomplishments, stories, or other assets <br />of this nominee. Use additional pages of you need to. You may nominate more than one person by <br />copying this form. <br /> <br />If in memory of; please list nanle ofliving spouse/relative that may be contacted for further information: <br />Name: Phone: <br /> <br /><' <br />""v <br /> <br />Wiffi.ifkl <br /> <br />o.""Yilh"bu-ht,y'; _Tex., <br /> <br />01411 Y <br /> <br />.fe <br /> <br />; f- <br />115 . <br /> <br />-'" 'j ", <br />( B,)} .:;::/J )7",-/) <br /> <br />~r!L a..d Rx..c- <br /> <br />r 'H- <br />'-f'}""""rM,."M ( J 1 >~ <br /> <br />rll',€.vh ~r <br /> <br />.-r- <br />i \(e)ess <br />.--- <br /> <br />pJ"oa",ff <br /> <br />f) <br />(7{ <br /> <br />'/;'1:1 / J -;.~ <br /> <br />/9/,od a}al):.. a/=/'3o <br /> <br />~5 <br /> <br />f'-ead'1 <br /> <br />fo <br /> <br />heir <br /> <br />/' <br />till/I:' ( c4i?7? <br /> <br />lhr;i '5 I <br /> <br />1ft/a/) <br /> <br />GCi/fll d>L( <br /> <br />/c:;~j-."....... (Xr iLk/'St' / <br /> <br />tiel,., <br /> <br />k':P whA R.. <br /> <br />P 'f- rc jlJ1e.eh t'lj <br /> <br />, , L:' <br />{tilf-; <br /> <br />It! c.;< e <br /> <br />.- <br /> <br />Nominated by 1 t11/1 <br /> <br />L.e.-e <br /> <br />{.;S~I <br />Phone: 4JL.- 1;)'>'''/ <br /> <br />Please submit to City Hall by Friday, February 15, 2002 <br /> <br />..-----. <br />