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CITY OF BOZEMAN, MONTANA
APPLICATION FOR THE CEMETERY ADVISORY BOARD
Date:11/9/11
Name: Donald Derby
Physical Address: 69 Frontage Road,Three Forks,MT 59752
Mailing Address (if different): P.O.Box 619,Three Forks,MT 59752
Email: bderby@imt.net
Phone(s): Home-285-3566,Cell 581-3634
Length of time in the Bozeman area: off and on since 1954,steady since 1984
Occupation: Retired
Employer: Retired
Have you ever served on a City or County board? Yes
(If so,where,what board, and how long?)
Applying to renew for another term on the Cemetery Advisory Board
Please explain your relevant qualifications, interests, and experiences.
I am a Vietnam Veteran and have served 2 terms on the Cemetery Advisory
Board
References(Individual or Organization) Name: Phone:
Carl Craft 522-9675
Gene Brooks 587-3203
Katherine Ball 570-5407
This application is considered public record. Application contact information may be displayed
on the City of Bozeman website.
PLEASE NOTE: Per Ordinance No. 1759,revising Chapter 2.01 of the Bozeman Municipal
Code, all board members are required to attend a yearly ethics workshop provided free of charge
by the City as a condition of service as a member of a board.