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11009 Ridgeway Place | Farmington, NM 87401 5053270002 phone | 5053259443 faxPatient Information Form Patient Information Name SSN#Date of Birth: SexMFsinglemarrieddivorcedwidowedseparatedMailing
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The form centerfarmington nmcivicengage is a municipal engagement document used by residents to participate in civic activities in Center Farmington, New Mexico.
Residents of Center Farmington who wish to engage in civic activities are required to file the form.
To fill out the form, applicants should provide their personal information, details of the civic engagement they wish to undertake, and any supporting documentation if required.
The purpose of the form is to facilitate resident participation in local governance and community initiatives, ensuring that individuals have a voice in local matters.
Users must report personal identification details, contact information, and specifics about the proposed civic engagement activities.
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