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Arkansas State Residency Application (PG)


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Redneck's/Hicks
Name: ________________ (_) Billy-Bob
(last) (_) Billy-Joe
(_) Billy-Ray
(_) Billy-Sue
(_) Billy-Mae
(_) Billy-Jack
(_) Billy-Jefferson
(Check appropriate box)

Age: ____
Sex: ____ M _____ F _____ N/A
Shoe Size: ____ Left ____ Right

Occupation:
(_)Farmer
(_)Mechanic
(_)Hair Dresser
(_)Un-employed

Spouse's Name: __________________________

Relationship with spouse:
(_) Sister
(_) Brother
(_) Aunt
(_) Uncle
(_) Cousin
(_) Mother
(_) Father
(_) Son
(_) Daughter
(_) Pet

Number of children living in household: ___

Number that are yours: ___

Mother's Name: _______________________

Father's Name: _______________________ (If not
sure, leave blank)

Education: 1 2 3 4 (Circle highest grade
completed)

Do you (_)own or (_)rent your mobile home?
(Check appropriate box)

___ Total number of vehicles you own
___ Number of vehicles that still crank
___ Number of vehicles in front yard
___ Number of vehicles in back yard
___ Number of vehicles on cement blocks

Firearms you own and where you keep them:
____ truck
____ bedroom
____ bathroom
____ kitchen
____ shed

Model and year of your pickup: ___________194_

Newspapers/magazines you subscribe to:
(_)The National Enquirer
(_)The Globe
(_)TV Guide
(_)Soap Opera Digest

___ Number of times you've seen a UFO
___ Number of times you've seen Elvis
___ Number of times you've seen Elvis in a UFO

How often do you bathe:
(_)Weekly
(_)Monthly
(_)Not Applicable

Color of teeth:
(_)Yellow
(_)Brownish-Yellow
(_)Brown
(_)Black
(_)N/A

Brand of chewing tobacco you prefer:
(_)Red-Man

How far is your home from a paved road?
(_)1 mile
(_)2 miles
(_)don't know




I take old Starbucks Drink Cups and
turn them into Lamps

The warm panels are made from melting down old Starbucks drink cups, but it looks and feels like mica or some organic material. The wood in the lampshade and base is pulled from our 100 year old house in Astoria Oregon during a remodel, and it all comes together for a beautiful, classic look.

Check it out!


Editor's Note: Be sure to check out my blog at michaelbissell.com/blog -- maybe not as funny as the 5,000+ jokes here, but I ramble about life, technology and other things that make the world... nutty.

Today's blog: Ecosystem of Breaches -- People and Social Engineering
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