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'.�9rgona l Information <br /> 2. Are you a registered voter? <br /> Yes No :f <br /> i <br /> If Yes, where are you registered? ^A440A r 7GOA) <br /> IS. , -Address(es); at w ich-,you, ave livea.:during -,prece ing ten years.- (Begin with present <br /> or.,Iast address; and work'back.) ' <br /> No. and Street City and State Dates <br /> �- al i✓ 6 0 <br /> 14. Kind, -name and location of every business or occupation you have been engaged -in <br /> during the preceding ten years,- (Begin with present or last address and work back.) <br /> Location: Street Address Nature of, Business or <br /> Business or occupation City and State Occu ation <br /> 15. Manes and addresses of •cur employers and partners , if any, for the preceding ten <br /> years. (Begin with present or last one first and work back.) <br /> Names: Employers or partners Addresses: City and State Pates <br /> T- <br /> �U �nrivE S k o R ;l <br /> Ct/ S "�-J.- .Sr P_r S �j'o k. c wd� <br /> f.! NDG M� <br />