HomeMy WebLinkAboutCemetary Commission - Richard Klose 2021Eye-Elu-
Date: (9jI-"QP'3 C950 (
Name of Member: 4 IC'."4gA A-
I presently serve on the Ci!�17111 6 ' and wish
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b'6
(Board/Commission/Committee)
to be considered for reappointment to another term.
Signature:
Date: C -/- 6�3-0v7- e
Please submit this form to: Council Secretary
City of Laurel
P.O. Box 10
Laurel, MT 59044