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FEB -13 -00 10 233 RM W.B.MRRTIN LBR 651 771 2669 P.01 <br /> Yaw KW Car* Prow*, tie MItvids aiMLMWirt he 7 <br /> Please Circle the 1{ swit alas ■M ar l for: <br /> City of Centerville Citizen of the ;;;) <br /> or <br /> City of Centerville Business of the Year <br /> Nomination Form 1999 <br /> Nance of Nominee: 4-4- <br /> Please •. ray." m r�i2Y�rbrt�. Phone: S /-453 -07`' I <br /> Address: i 5 4" <br /> Please check the organisations or groups this individual is associated with and write none of committee this <br /> person is actively involved in. if not listed please write name of organization in the Other column. <br /> ► City of Centerville Committee: Is Local Organization: <br /> L'JhJ <br /> ■ LocalOrganiration: P. School: <br /> ► Crch: ► Other: <br /> ► Other: ► Other: <br /> Phase list below the task that this individual has accomplished during this past year that have been of bene- <br /> fit to ou city and 1 CIAO it's residents: _ <br /> Nei L eo +La wa io c r ij u ( fi o s- <br /> t� .- <br /> __. <br /> P eo..o S7. (L)c w•NtC. ., Ldfity , .J1l tC t .. _.I?L =�_. m <br /> e gAl, fir <br /> Are there any other factors you feel may be important to consider regarding this nominee: <br /> by neA 1.1 i (so r` Date ;a 570 0 - <br /> Address: t b O 12 eJ for 51 Phone: 457- to S 3 - S' It <br /> t nl raa( ( P lniN <br /> 42.9 - & 2.9 <br />