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Page 11 · column 2 of 2 · from the scan, no model involved

PETITION TO THE BOARD OF SUPERVISORS OF RAPPAHANNOCK COUNTY 12-86 We, the undersigned citizens of Rappahannock County (of voting age -18), petition the Board of Supervisors to fund the proposed capital outlay program for the Rappahannock County High School. (Please sign legibly.) (PLEASE MARK-X) REGISTERED PROPERTY _ NAME MAILING ADDRESS VOTER OWNER 4
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