WARNING: ALL SIGNATURES SHALL BE IN INK.
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We, the undersigned voters of the Town of Mansfield, hereby present this petition under the provisions of Article III, §§ C309 and C310 of the Charter of said Town (here insert the words "requesting the repeal of the following ordinance," or the words "initiating the following ordinance") (here insert the text of the ordinance) and we certify that we are voters of the Town of Mansfield residing at the addresses set opposite our names and that we have not signed this petition more than once. (Here follow the signatures and addresses.)
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Signature
Road or Street
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WARNING: ALL SIGNATURES SHALL BE IN INK.
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We, the undersigned electors of the Town of Mansfield as determined by the revised registry list last completed, hereby present this petition under the provisions of Article IV, § C405 of the Charter of said Town requesting the repeal of the budget adopted on (here insert date of adoption) and that such budget be replaced by a substitute budget, and we certify that we are electors of the Town of Mansfield residing at the addresses set opposite our names and that we have not signed this petition more than once. (Here follow the signatures and addresses.)
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Signature
Road or Street
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Tolland County, State of Connecticut (Here insert
the name and residence address of the circulator of the petition),
being duly sworn, deposes and says that he or she is a voter of the
Town of Mansfield, and that he or she is the circulator of the foregoing
petition page, that the said signatures were made in his or her presence,
that each signer is known to, or satisfactorily identified to the
circulator, and that all signatures were obtained not earlier than
six months prior to the filing of the petition.
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Signed
Subscribed and sworn before me this ____ day
of _____ 19___
Justice of the Peace, Notary Public or Commissioner
of the Superior Court
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Tolland County, State of Connecticut (Here insert
the name and residence address of the circulator of the petition),
being duly sworn, deposes and says that he or she is an elector of
the Town of Mansfield as determined by the revised registry list last
completed, and that he or she is the circulator of the foregoing petition
page, that the said signatures were made in his or her presence, that
each signer is known to, or satisfactorily identified to the circulator,
and that all signatures were obtained not earlier than six months
prior to the filing of the petition.
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Signed
Subscribed and sworn before me this ____ day
of _____ 19___
Justice of the Peace, Notary Public or Commissioner
of the Superior Court
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