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Name of Nominee: <br />Title (optional): <br />Address: <br />City, Zip Code: <br />Phone: <br />Entail: <br />Nominated By: <br />Organization (if any): <br />City, Zip Code: <br />Phone: <br />Email: <br />MOUNDS VIEW CITIZENSHIP AWARD <br />2006 NOMINATION FORM <br />Fax: <br />Fax: <br />(Attach additional pages as necessary), <br />1.) How long have you known the nominee and in what capacity? <br />2.) Describe briefly specific contributions the nominee has made to the community as it relates to the <br />Mounds View Citizenship Award criteria: <br />