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3140 Del Webb Avenue NE •-~, r-~ r. , <br />Salem, OR 97303-4165 ~ ! ~~~~ .}: I` 11r L~.-. ~ <br />~i <br />503-588-2424 Fax 588-0209 , ,,,~ <br />_ ~:~~-~51997 <br />E-mail: cherriots.org ~ <br />'k^J' t~i ~. ~ E 5`: , ~" Y: : •: .. e r. <br />~t ;~. :";~~.;=:~ ~~41v <br />~~Ef~E~~^.~. es~.%~~•:~~~i:~E~ <br />APPLICATION FOR APPOINTMENT TO THE C~~,p~'!~'G0~5 <br />ELDERLY AND DISABLED CONSUMER ADVISORY COMMITTEE <br />Thank you for your i~terest in Salem Area Tra~sit! <br />`~..~ <br />CLOSING DATE: FRIDAY, NOVEMBER 28, 1997 AT S:OOPM <br />(Piease print or type all information) <br />DATE: <br />NAM E: <br />t/- ~a-~~' <br />MAILING ADDRESS: <br />TELEPHONE: <br />OCCUPATION: <br />1JOPhTHY r/AN~.~~i R EET <br />~~~s 3~~a P ~« ~1/E <br />s,4 ~ ~ p, ~ R ~ 7-303 <br />~$$ -1c167 <br />R~ ~rR~ - <br />Please describe your interests in serving on the Elderly and Disabled Consumer <br />Advisory Committee. What would you like to see the District accomplish in <br />relation to transportation services for elderly or disabled persons in our area? . <br />-~ 8~ ~9 tvA ~~ U~=' pEa P~~ wr i ff .Drs.4~ Bi~.~ ~ i Es <br />.ll~C-n S ~'b ~ t- ~~ r~'~ r2 ~- e t~~'o c o P ~: i.r! <br />'IrGET% /~1~- ~; ~OLI.tI.? E.SP~Ci~/~Y To ~i~D~loTC- /H~/~ <br />/~,P ~ L~,-Y To B~ /iL',d7~ PE.+'/.~r...~I T <br />75 <br />