Early Voters Roster 4-24-2023Voter Assistant (if additional voter assistant lines are necessary, continue oil the back of this form) Include Name, Address
Lane # Asistente de Volantes (si knells adicionales son neusarias pars asistenle de votantes, continue en cl revcrso de este )brmulario)
Incluya Nombrc, Direccicin
o at' n tl Date of Gled�,Yoo�n.. (Feelia de elecci6n)
County Precin No. VOID Poll List (Lista de Votantes)�
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Tarty Voting Roster for Early Voting 6311101.1:3D1IJA63281(102850.11.071'1116?00.4TexasE1.0—c.de
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(Check if Applic•ablc) Nlarcar si Colresponde)l If a voter is unable to sign his/her name, an election official shall place the voter's name oil
lire signature roster and make a notation as to the reason the voter is unable to sign.
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Si algitn votaate no puede linear su nonibrc, un oticial electoral apluntara el ttontbre del volatile en el
registro de bruins y hara una anotaci6n indicando la csusa 1)01 la cual el votante no pudo finnaL
Signature (Firma)
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Sworn to and subscribed befolc me this
day of Y`% 20_4"
Early Voting Clerk ,. _--_._---- _ .�► ..._ __.
'' # .µ Voter msisttu)t oradditional voter assistant lines are necessary, continue on the hack of tills forth) include tia)nc, Adth'ess
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LOCation (Situ) I bite of i'lectioti (1'eclfa de eleccicill) � `I ypt' of riectiotl (Tillo fie eiecci6ll)
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County Preelttt t No. VUlf) PoH List (L.ism de VouttlEes) Voter Address (1)(111)iciiiv dei bbwnte)
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COMBINATIONFORM
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Early Voting Roster for rly Voti.�] s.<nic.�„�.r.vnn;mieacuJu3muwooaa.ctroR
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!i'wa ii-APplicable) klaicar si C'orlesponde)
Ira toter is unable to sign his/her name, an election official shall place the voter's nanle on
the signature roster and make a notation as to the reason the toter is unable to sign.
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5i :dgun vatantc no pucd iinnar su Hombre, till a6cial cicctora! a untar:i ul Hombre del votante cn cl
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COINITBINA.TION FORM and ESISFo.,Tl•COMA)(Bf/iB)
{(} Early
i Voting
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Early Voting Roster for arly Voting Lt0,u1k9., 41rolt.t::nlfu0.W7JJn]Obr.bs uud.n)UU1.
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If 11 voter is utiable to sigh Itis/her Manic, on clectk)n official shall place the voter's nnnle on
the signature roster fund make a uotatlon us to the reason the voter Is unable to sign.
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ESSS Forrit TX.CQM-93 to ilia)
Vat'sm�A'ssisiatit'Of additional voter assistant line-, Tire Pecessark., Wntilitle Oil the back of (his form) Include Name, Address COMBINATION FORM and
11W # AsiSWtIEV VOWWO; (Si 1111vas Idivitmalessoll neemij-his para asistomw 6e vowlims"millimle C11 ei rtwelso de vme 1,61111ilalit))
Direcci,')a EarIN, Votina Roster for Early Voting 1011IN Oil 0.121i 1w 6511.11,157 IN1621m Tr."Fk—, -0.
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If a voter is unable to sign Ills/her Panic. an Vivetion official shall Place the voter's Panic on
the shinuture roster and make it notatioli as to the reason the voter is unable to sign.
Si aIghn %viume no ptiede finuarsu numbre, uti atichd e[ector4d iptintani el noilibre &I votante cn III
rugistro de finmis v haril unit anotacitin indivando la camia pur la cual el votarite no pudo finxiar.
41iiocation Saw) Date of Election (Feclia de elc;:660 Type (if Election (Tipo de idecciltIT11)
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J-Papt,taid uutitiml!I(tapi atil Ito patuall uosiad will watum aili pull allip PIT: I litin .1111 Ito allsiml Ill) Al) S.1amt•IS11 .1111 110 ❑PlIsiall .1111 lull 1 ulqjp. ((I aca.w; I .,'I! wUp1jjN- .11111111!S
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'11(111xvp tq To Va.% mm ((Ij S oplsim (ill I., LT., si,will To alul Njillwoll'A bel6re [Tie (Ilk
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COMBINATION
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1 Voter Assistant (kf u(Itlktkuilal voter assistant litres are taccess:u•��. contintec uu the back 1 1 t_. O l'� 131 `A r i Q N FORM and
�"lire # Asistento do Vutalttcs (si linens adiciotales sun ncccsaria.. pare asislenle de : ula«c<, cunrintie et el retclso do esta tilrnlulariu! ()
(IticJuya Nontbre, Ihlocci6n Early Voting Roster for Early Voting
j�
Location (SWO) Date of Election (Fec)1a do ciccci6n)
1:1)'4a1 j414 nt ;.
'Count), Preciact No. WID 11off l.aist (Lisla de Votanles)
( Nunt. do incline to
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WhccL- ifApplicablel 4larcar si Cottcspan<!el
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Voter Address (Domicitio clef VoWnte)
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E565 form TX-COM1i•v? ltl lt6t .In1 I'.' _f
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C:1 f,•n, PI U•1 GI I,l2,tl 1'Xtl J, bC11•UWUX�a fu, anlHlnd dlN
If it voter is unable to sign higher name, an election ofticlai shall place the voter's name ail
(lie signature roster u id make a notation as to the reason tite voter Is unable to sign.
5i albun t utattte no poetic lirntar su nenthm, un uncial cicatotal a unCu:i cE nont6ra dc(vntantl: cn e!
wgistro do firinas y ilar:i Lima anotncion indicando In cuusa por lit vital el votantc no pullet tinnar.
Signature (Firma)
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l l Iat t d a r t of o lit Uu11t1a«ua CUR «a Hitt, tt«Brno,-" to, rtltattt;d o cuciuud I:,r, „ 1 :r«n';., o;V auul a,nto.t t:u1 rp, t Pliosiod ir: is ir«a:n.l cs:;.,;o ,vn 1it algr(ki'l rlsa r«at:11d r.«,J - Irrlruol,I ttuti.ial',q u( tta ts, q rurq alnupq PP
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taa i 7ui n1 auns at 1ni rn i and nI roan a u<ti ua.tnnl t: ui saµ:dialuad �o urn 1a a .iar.tu.td a a7 Sato t i t«iturn, uoslati aI 1 i asua n lauuti.tl r, snnnuoa uts.cul - ani as (latula m acn ao
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1ugt2,t!3yr1uapt Ul na aill'sq (m Utta&t,ld UI outol Ottvz!w 11.( otrn SOS ('KS'saturtot tip nnsiaa.l op opr,giva qo 1:a uzlaslad ei o soivnt,+`,a: ;aturto, ,!, vvil ill as cao, wd c; ios lab o«ugc it omi ' ,rpcmr tlolprtrl ale! rc161V„ opca.u:at O.tpUtLl (.l
ill saltnatut tiEUt tlllo(O.l,(l'.'(a}IQO btJ� fa Ojtil.W,d L:(Illitti ;gilJttlglaJllCttigllti ea lljl(j'rl) y sa tsnald upias ?:«alit ap oil; inr::ay ;., .Ia .,t,it«rr: is a«(, I"
till : s IS' :11 XV.I OA I:I(i 11Y 111111p\(1ti ](I V(IvNfIr ti(H.:lV11VlJ'dcJ+
i 'papl.tu.td uottumitnapl agl ao paw all uas.tacl a;ll -it attles.1111 plia alto Ina I pile "lle11111.11a t.aile1is! 7i1.1 u1141 t 1gt lilt [Ios t,)tI llg4 All S.Id►tl 1 qlJ e.)1s! T.0 ltl itiI( dip 1Il1 iit�tdd agl tut: 1 nuyp: ao.tela its 1,; iq.n:pi)}t,:ltaay dltlltlllS„
palagal asunbs agl dttllb:glnq ,Sq `(all{{Q'f9 } nd Jalliuls .illi:j11n:1stills si t(1lP'C9 l .lapu❑ paplmi-111 uoilcapitltapq Jo eli4u 11(i t.o aillru agl will pluquiJaplp sl )i Ji .tl.\�'(gq:gdv' illlYi ?lt"l@[U1S S.21i1.1.(1.1.
1� vgl„ala cl I:a zat run aulamr.pr.: au:lo•t t(t! ,i''gtea.t oil p:na qa to
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ohtwaad «n lta (utstilr au iun81s1! card auwuu:prup:nu, ill rsp:l u,, 1. Lan lot tl a 1.1! 'p.r. 1 , i i , i 1. i.. .! { t ,! { l I ! I ! I I I i . I
Delon turd .(1I and oprntotrw Sots, o(Ittt« otln tip -"till o arle.t o,tl.tp+1rb la tia mil!xI.ld iap aplal•isal So. \ I ani, wtIAIr o olr ,tip r.i'.naa«n'n1r otcL a\:,, oprlu lit oq,r.na la .tips nn sou uo1 a nta!i IV :iLl NVLOA :I(I O.IX!MVN.i(a
I ( •«ailalia agI ui 11na illm W;gIt1 t Ilia (11) pue •apisat !uu tip I tllign uq pap.md c Ili aoilcais!lla.f .1.1ita8s of aailtultnJul asluj
!apl.tu.ld SlattT.fagilap jou pip (:)1 Clullsi 1aa.wiu,t Jtil Ill pappoad 1R:1 N:tt ssa.tpp6 J111aprtiJ7 ,(ill tit)tloillall.11tlnC ayi alu.11111 111 olo.t of :Iui.Iallo lira I ganitt ui pllp..td 1q1 Jo lilaplsa.t a sc it (lI! ► Illraa.fd jail! «i alo.i of auq ig
Ipalpjw aslll rdllla tua 1u alo.I of liul.wJJo lilt. I gapl.it ill i.nipald alp Jr) pial,l%m It tit: I \)1 11:111 itugle .to lc.l us I „'isi q to wN 1aNI,� Jul it tapiiJ\ .. palagl:l a.ilrlths 1111; 1111:1lilli ill :.1.Si i \().i.(1\ M iLL().1 N(1:1 ,LL!\'(llaaB' ,
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acllulls .,upnn� tip
V.1—H • unplucl-'•+tl
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_ •,ulot.ir.,mng Autlturiyyh' a,uchtcting election ��))
Dttlrto A) S1 r.1aw ! (� �.1�t L�I�tX Giii�t•G-C'
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ti:ro ro to :altl s hsc gilled b, Iv1a ale this
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Voter Assistant (if additional voter assistant lines are necessary, contillue on file back of tiais forrll) include Name, Addresv CO ti'I l3I \f A1,I U \{ hO Rl'I ii ilCl ESL P—TXCOM•0)t01«O) q' • :.
Une # Asisieute de Votmitcs si linvas ildictonalcs Soil evee\arias ru:uuistvnty de t oranleti, caminite vn el rrrerso de esty turtrnl:u Iol ?Z.11 IXJ114-ael,ry 11 ne
( } , Sr: 5J �0, Cl v�l'I.^J altt.6Jl:16J001l10mf16a000. Y
Inclityallombte,Utrcrtitin Early Voting Roster for Early Voting aa•rtt63011.etol101
ota:�vonrrut«��eto>>„ertnm,.ae
(Check ifAnnlirablc) �larcar si Correspontle) ira voter is unable to sign hislher name, an election official shall place the voter's uatne on
file signature roster and snake At notation as to the reason the voter Is unable to sign.
" Skili nl %Winne no puede firmar sit numbrr, tin offcial viectorul anunlara cl ❑ombru del votantc ell et
L,ocat[t]tt (Sititl) ll•]te t)F [ ecticJtl (Pecha de eicccuitl) Type pe of'I' leetioti (film <!e elect i(ill } r rcgistro do Grnrts y har:i tina anotaciim indicanl{v la cauvl por 1� cull el votantc no pudo finnnr.
ii��i'�t/1 Ctz:� 1-it�k4���_��
County Precit)ct No. VL}IU Poll List (List de Wwntcs) Voter Address (17omicilitl (lei Vt)wnte) z ^ c Signature (Firma)Num. de [ mvinvto
of
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muoanp aattt(od oppird olio ap upntla.tttoa ❑art ua a0ta11utan«ria uoa rdtapnal o ultrmutl «nt .tall caul ct a txt„;nct ctq i uru:unt,l utnaaalc] rt ua os f eu,l ,tilt t)ap miptttyaty,uoti al) (U�l'ClLa !l l{till JCtl.lf �� .Nalag tUt`)1
'AU-11S Ya11na anus alp ya{mp Allied .ra llime Ja tu)peasu )a I: tic sa9111Ia11n:d a c egollawa uasiad N, • pollaali] kiritual nl aut 1a.1 cpmn( Untmttn)aafl cpmnrttg{amnlaaQ
.1111 IT,, Vi\ .a+np9116'
)amt ut(uu:pnn enn,\ cafe°t} AL[thority conducling election
epraotatodoid
twneaticltmlu r( tea rprtquiou mostad rl otuo+ olusgit p 'i nun Sus o,i .0 'sal«rtat al) o.nsl:i: a a[t uhr,tlrit .,1: t:n m 1o,:: d ct o tirp::ltsri,,1 s.);ryo t •:p vi( rj I1.1 ru,•11ad r( .cos anh onut4e w otaf rprttt[ uouxur(aatl ;t:nlaaC; opr., eul mprna 1' , ,• y t
)ta saluwttq slut mooloa )r'(.I)I(J(t E9§ ua olspmd trp1«ts : lnaugrlaurls9ues sa I(110•ti9 § to utus,,n[ apt w urWapl .,1, uitr:nuno( ja Na .v;t ;to:t (: a:a run:u, t•,p : +'ti :d.itit'.t(?.\ TIQ 1iV I(t\Iti 111ilIC0\ 11(] l'(11')1:)f M11J\'21\' i)_ltl. (• uu.a.\ b (' 1
T ta.td vopttat qua i at I all Tln16a nws.cad a1 sit alms a1 ur, afro lift: tut: •.1 1u1 l.1aa aallti-11%plai .la o.% ail uo uos.lad aI 1 .fit s.ia « t »c t titii) t a lsl.1111 ua Imsaad m tun neat r m.toaes l to t )uu:, ,ta uul• slttptltl
'p.F{. i. p.• [ l• It I)P tt ( If ) i 1 1 i•••1. •• ] tIt 1 tf�• i.'l. ilUl'• �; I. ti•• s tao
pafagnf minks aill Vnllullnil .ill't•)ilU4'£9 § nd fullutis .illulluuisdns sl Ifllll't9 § ratan paltltaaef uatn:ayllnapt Jw elw] aill uo au rn ails te:gl paapti.ea►ap sl Il JI bINN'\ 21t' llitlti ti.11a10A.
uutaaala cl ua I'm Iaut aolan«gos otohii ((_{) ,C optsaa tilt hill (a ita Suorn to and subscrihed hcli,re toe Ihis
otunaid utt ua oa)srr as pu .nun ass: rand muatuepruplitiatd rgrl uypmutotiu g, o« (,)1 •lt•cauallts,.t «Ln?a:nlp nu r opu,t NI'll' ad uw,,ca+nym rt smut:w., al) xqn q.tial 11:111 a( opttroa otiu.,a;J aisa ap o11taptti:1t rtl (ill oMIX11d also it, �J t1,11 /�
Into.% taut[.Cal and opiwpotnr (oisa opotu otto ap ill[) o wto t'Imillo anb (a ua auuaald 1.yt .quaptat ins (\,-) aid) oltulllc o nn•pal, of nuano (IIr otda.i�, ,>[,ra.n:nu utprn, Ia salriatm star una tcuu!I IL' 9.1.\\.LO,\ Ill O.l.N IIC�'21(1fI _ ... �i -.( .-.....--.--.- da} of __ L1(lc2 i ham. _-____• '-(1_ .� _
le uollaala alp al aalln 3luo ulio i au: ((1) par. •aplsa.l lou 411) 1 galgit Ill 1311laard it lit untlraltl"'m a.maas o) Impurttraiul asg:J t
altf,tard .tlalt:ragliap )nu p!P i:D)'re.gxt w,a .ca)n,t 3q1 (I) papl.urrd lse{ stni stia.ggti: aauapisa.r .bn en ltnl)rmrglIll aql atop a111 it: a)o.t al ttnl.iaJJa nut i galq It In pllp..td alp Jo )uaptsa.r r. se it (11) •laulaard )Ill) ill a)aa Of .ttel Aq Farly klwiag 0M,
palq)uaaslmAilli o lue m alo't wl Vtn.taJJo life 1 I[aillM ill lamaartl a llJa ivaplsa,l IT tilt. (IL ) i teal) Iamjp:.lo.era its 1.: )`1 1 do )wN.mp) it mq ll.teplilj'.. palagui mullbs.1111 ullulllul ill :.I.SI'1 tiO.1.0\ ilil.i.0.\ ]IOa.LL\�'(Ila;l\'+
ROSTER FOR EARLY VOTING BY MAIL
(LISTA DE VONTANTES QUE VOTAN ADELANTADA EN PERSONA)
For the ��+N n-F ge-ded lla- eet7e✓a) Election to be held on
(Para la Eleccidn que se celebrara el
Precinct
Number* VUID Number Name of Early Voter Residence Address
(Numero de (Numero de VUID) (Nombre del Votante que Votd Adelantada) (Direccion de Residencia)
Precinto)
6to I t o 57 - 0 S 19,9 ch,,,rI-es �arri-s
'5 J 6 S rl -a 6 g- W/ I Loxe tl,e flvi rri' s
S 1117464203'77 lhiiwa s
II a Sg7e 591 Claud Si' berg fir.
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Check if
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County election precinct of registration. (Precinto del Condado en que esta registrado.)