UTZ NOMINATION PETITION 10-26-2017.PDF

NOMINATING PETITION
We, the undersigned, each a qualified elector of the L CTRICAL DISTRICT NUMBER EIGHT,
Division (0' hereby nominate 4. y J ..-- who resides at
Za41----&3"4' 9 op /e4-4 ,torY ./Ar i- 4 for the office of Director, from said
Division to be voted for at the election to be held in said Division on January 13, 2018 , and each declares that
he/she has not signed and will not sign a Nominating Petition for more persons than the number of Director
positions to be filled for such Division at said election.
Print Name Sign Name Actual Residence Address Date
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CERTIFICATE
I, the undersigned, a qualified elector of ELECTRICAL DISTRICT NUMBER EIGHT, and qualified to
vote for the candidate whose name appears on this nomination paper, do hereby certify to the best of my
knowledge and belief that all the signers of this Nominating Petition are qualified electors of said Division of
said District.
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a
ature of Circul
RECEIVED:
By the Clerk of the Board on
Instructions for Circulators /0 • db. PiVi
(see reverse side) US'S