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CITY OF BOZEMAN, MONTANA
n APPLICATION FOR THE CEMETERY ADVISORY BOARD
Date: K - (U
Name: Wj� e e I Y !0
Physical Address: y 3 6/q Id r�)�•%� �C D2 ( �;`�
Mailing Address (if different):
Email:
Phone(s): � d
Length of time in the Bozeman area:
Occupation: 6?C�'-SL�/A—J ,
Employer: e I F
Have you ever served on a City or County board?
(If so, where,what board, and how long?)
Please explain your relevant qualifications,interests, and experiences. �J ) J
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References (Individual or Organization)Name: Phone:
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.
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