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WWK Elise L Mayer
MIAMI BEA~t~ c®MM3ssaON FOES ~!®M'EN NOMINATION F0~2M FOF2 °VIiOMEN iAiORTFi iCNOiiVING°' INFORMATION ABOUT NOMINEE: Name: .+ X74 ~ ~ /- ` v`'y C%Y .. Address /Phone(s): `~~ ~ r , ,~ /, ;~~ ~-ry °~ °~ w: - ~ ~~', c^• ~ t ~ Place of birth: ,. Miami Beach resident? ~ # years? Miami Beach workplace? _ # years? Profession: ~ C~ ~ • ~• ~ ~ ~ ! t'1~'.~ C~ ~ ~ ~ '~ '` ~'V ~, air Interests and activities beyond the home and/or workplace: ~, J 7 `v n ~ ~flh ./,?j pGt,~'c~S ~ ,,, ~.~;- ,:~ What has nominee done to better the community (on a local, state or national level)? rd / /~- a ~r ca r S ~~.S SUBMITTED BY: C:~ A ~ 1.~Ji Name: Contact #(s): ~`~ ~ _ Relationship to nominee: «~ ~'~rn ~'x~c.,~~_ # of years: ~ ~''~~ ~~- . ~ -f-~~C -