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maims MEW <br />6- t-1 VIEW <br />- - - - <br />CITIZEN OF THE YEAR NOMINATION FORM <br />N C <br />Name of Nominee: <br />Title, if applicable: <br />Address: <br />City, Zip Code: <br />Phone: <br />Email: <br />Nominated By: <br />Organization (if any) <br />City, Zip Code: <br />Phone: <br />Email: <br />LL—/ 0/ AL I- L- <br />ce en - <br />Fax: <br />Fax: <br />(Attach additional pages as necessary). <br />1.) How long have you known the nominee and in what capacity? <br />'g <br />e <br />yam; vw�.r <br />.s t" 5 <br />CP e - <br />(V �-Vf 4-71 <br />CA,& z" k, -le-- <br />Yer' e AA X F w r <br />C-7 <br />f' to, rV, eer r e, <br />t- -ALL Th I T- <br />1/� <br />