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Sandra Ramaker serves as a member of the Mesquite, Nevada City Council since November 2018 and holds the position of Chair at the Southern Nevada Transit District since January 2021. Additionally, Sandra is a Board Trustee for the Las Vegas-Clark County Library District and has been involved with Mesa View Regional Hospital as a volunteer since January 2016. As a member of the Volunteer Advisory Committee for Kids For Sports since September 2014, Sandra also chairs the Volunteer Board of Directors for the Southern Nevada Transit Coalition. Other roles include participation in the Debt Management Commission for Clark County and previous membership on the Board of Directors for the Virgin Valley Water District and Rockwood Water PUD. Sandra retired from the medical field after serving as a phlebotomist at Broadway Medical Clinic from April 1990 to May 2008.