DECLARATION OF CANDIDACY
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STATE OF MISSOURI
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SS
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COUNTY OF LINCOLN
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I, __________________________, being first duly sworn, state
that I reside at __________________, City of Moscow Mills, County
of Lincoln, Missouri; that I am a qualified voter; that I do hereby
declare myself a candidate for the office of _________________________,
to be voted upon at the municipal election to be held on the first
Tuesday after the first Monday in April, _____, and I meet all the
qualifications required of a candidate for said office § 79.070
and/or § 79.080 RSMo, and I hereby request that my name
be printed upon the official ballot for said election for said office
and state that I will serve as such officer, if elected.
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Signature
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City Clerk
City of Moscow Mills
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(SEAL)
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