State of Missouri
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SS
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County of Lawrence
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I, __________ being first duly sworn, say that I reside at __________
Street, City of __________, County of Lawrence, State of Missouri;
that I am a qualified voter therein; that I am a candidate for nomination
to the office of Council member to be voted upon at the municipal
election to be held on __________ Tuesday of __________, 20__________,
and am eligible therefor, and I hereby request that my name be printed
upon the official ballot for such office, and that I will serve as
such officer, if elected.
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(Signed)
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Subscribed and sworn to (or affirmed) before me this __________
day of __________, 20____.
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(Signed)
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Warning: Voting for more than the total number
of candidates to be elected to any office will invalidate this ballot.
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OFFICIAL BALLOT
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Candidates for Council members of Aurora at general election.
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FOR Council members
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Vote for (number to be elected)
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__________(Name of candidate) __________
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__________(Name of candidate) __________
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__________(Name of candidate) __________
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