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DEWITT COUNTY SHERIFFS OFFICE 101 WEST WASHINGTON STREET CLINTON, IL 61727 2179359507EMPLOYMENT APPLICATION1) NAME: (Last)(First)(M.I.)2) ADDRESS (Current)3) CITYSTATEZIP CODE4) SOCIAL SECURITY NUMBER×5) SEX’M or F(Circle)6) HEIGHT:WEIGHT:7) TELEPHONE: () (Home)() (Cell)() (Work)(Email
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101 West Washington Street is the address of a specific location.
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The specific information that must be reported will be outlined in the filing instructions.
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