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Early Voters Roster 5-2-2023i *AFFIDAVIT FOR VOTER NOT ON LIST, By initialing the square labeled "Affidavit for Voter Not on List," 1 swear or affirm that 1(A) ant a resident of the precinct in which I ant offering to vote pram otherwise emit t?mlor\ X1.1tij by law to vote ht that precinct, (B) was a resident of the precinct in which I am offering to vote at the time the information on my residence address was last provided to the voter registrar, (C) did not deliberately prov l false Information to secure registration in a precinct In which I do not reside, and (D) am voting only once In the election. - -th �act Cup "JURANIENTO DE VOTANTE: At firmar con III!$ 111M CS et cuadro mareado " Accpto Jurunento", yo declaro o afirmo qua (A) soy residcate dcl precinto en el title oficzea votar o que do otro modo estoy autorizudo par ley prim vo I 7) cn este precinto, (B) era residente do este precinto cuando le di at registrldor de votantes Ia iniormaci6n perteneciendo a Ili! direccidn a sidenci;d, (C) no di inibnnacidn faisa premeditadamente pars asegurar mi registro on un preen sop stet oacgeq (lagtrS��i){ pun nt tao,u5 cn el coat no resido, y (D) volard solamente una vez oil la cleccidn. "VOTER'S SIMILAR NAME AFFIDAVIT, If it is determined that the name on the form of identification provided under § 63.0101 is substantially similar per § 63.001(c), by Initialing the square label �'� i Voter's "Similar Name Affidavit," i swear or atiirm I am the person on the list orregistered voters or the person on the voter registration certificate, and 1 ant one and the sauce as the person named on the identification provide I 1 niti ils *DECLARACIUN JC(RADA Di: NOMliRE Sltvt[LAR DEL VOTANTE: Si se detcrmina que c[ nombre cn el (i)nuulario de identitic teion prevuto cn § 63.0101 es wbstancialmcnte sirni[ar previsto cn 363.001(c), a(colocar tn(s" iniciales ! 6 (Inrcndes (lei vbri'ate i el cundia mareado "Ace tar Declaraci& Jurada", •uro o afirnio c tte so [,I persona en la Usta de votarites re gistrados o la ersona cn el ccr tificado do re Bistro do votantes, o so uao el misnlo comp la persona nombrada on la identificaci %, , P J l Y P b P 6 Y Y Y Y P' • proporcionada. r�M uuttaa[a9u(Iatpuoa,{l(wgplV SindfarNamc baida\ttl'nrUuer ,tnldatrt" �',1a011Ju For use In PrimaryElection - A pet -son commits a criminal oftense, if the person knowingly votes in it primary election or a flu ttes in a convention of another part during the same voting year. " OaclaracfdnAur:aJa Iltt�faract,hlJmm,la = P' p g. P• Y Pa �'�Pa party 6 gY ' Sign Wow j' lflilc llStc{j tl(7EC <t de "'willoreslnanur dcttbraM Para Uso en la Mcceicin Primaria - Una persona c.M1 culpable do una ofensa criminal si ral persona vata con ono �•+�• „I,� ell Moil c[ecci0a pritilaria o par6cipa cull conocinricnto ell una conventi6n de otro partido politico durant •l ) 4LI t11(211 • Mr en • lu IA el misnlo ano de votuci6n. '.°''A, bs 00/�' 11 o ?,14 6vI �j 1 itr �sy,t S —0 R dl 3 I"i iz. 1-7 3 r 43 riG�^�i ,>a i 'Y �l,�fS�31� y p ff �y•'� — jj le 1C Q C � 4a'Q'� t l (a;uvIOA lap o[lla[Lc[OQ) Ssa-IPPV-1a;®,� (sa;ut io�i ap I�IsrU;sad j1Dd QIf1A •o(\(;anlaatd ,(;alto d� -1 {)►- jt r yi% ✓la f! n;ur.ui rpnd txl alurµ,.\ [o p:na Cff tad lrstu;a c(opnr;npra uu(ia;lour, rnn Milli,{ seulap 7p n.uslPio_t o (CIQrO�a[2 2p odl [) IIt)1;Ja]� j0 ad ly ( (CIIlIJ�0�3 1p[�a� j Ilt)i).lajtt <1)Q:(j (�[;IS) �QijL'7[I� (a as 3tlnrinn 1,111 Arc(«rou [a car.Iunde (rnojaa[7 p,ralJn un `auluiau ns truu[i ajr,nd o«ltunto.\ un 7�r, i�; •Unit Oi alquint SI .r,llo.t ltit uoso'm lilt of st. uo(Injou n llnul pult.laJso.l a.111wit its alit , uodsa>.w, 1S tn:,al: r , r,i tld r aat all IMICH S,.Iallm ail{ ,ldu[t[ illrliS (u(lilbo u(P!jalil tit'. °attlell .Ill((sitt It"WS ttj applull St JaJo.t u.1t +!taal3 +crNa(. t4lfl'Z41 D na l Z i'LS ' I £tl'SN `Zgll' I R `F£II'YV ' I R 11'£4 ' IUTJOA 1%1.I7321 .IOJ .IaWll 2III40A XPUH u,ilna.n<i layuroN e,01[lu( _3100'0 '600v) ")(lo'tiq 'rilovi 'tioo,O) 7011'£9 `1100'£9 'tll0'f7 ,uo(laag (ourr(nuuoi a]So ,p os.wna.t [' «a onull«ol 'Slttnllo,\ ap 7JIMIsise n.md snl.trsaaou aaS s,[n«o(ltpr, suatu( !S) solualuIx ap aRlalsl%V #anti 8iouFit oz-51t1.1,1:j nanrtSJa iartl aa� Sq pay(aata•, t piIY' y� tCt �i1 j����L Y �IIfi:I/ 11�� ssa.tPP�r`atus(ti apniaut (ut.toJ s(tLiJo alit q atlJ uo anttiJuoa •.{.russlllu aau slu(p ItrntS(rsrs allot irun[ilppr.Il);nuts)ssV taJoA in(t,\ sfgt .1m algpq tpl(lpasgns Y1111,01 worsts Voter's Initials (lnicialesdel Mirdill'A •duolf,1a(a:lutlanpu0ad1rwglaV SindmrNanlr tradmic[•"rvuter Amdatu• xr,ctt+ttiv* t nu nccluractdJuradneclaractda.6mdu Sign (.Itm, (I�'Ifnlc ustc{I abajo) do Y"mhre titmilar dcfl utanrc 11i• del �iduntc' tin cn Iu lAta• u()u( 01: atutaa.t (+ (nna n[ sod osaua rt optn: rpm uut:nufour. utu) n.uu( C srutnJ IIIuttsrtru (nu,Osuruo.ti.ip.1scltttaafac.tetundt:tatota.galera((otut ttgtuounSIJIIL Jrtlapin(lutt7(tir,(cr,t.un le«t t;7ts of algoun sI .1a10.t atit u0s«a.t aql ill M. 1140111,1011 Ir ayual put: Jalsn.t a.tnittu 7ls aql 1w ,114(va s; la(a.t aqf aacld Ipltls tular)Jo noitiala uu'ituru .tail/spi ults o[ algmin sr Jalo,a ujr f *AFFIDAVIT FOR VOTER NOT ON LIST: By initialing the square labeled "Affidavit for Voter Not on List," I swear or affirm that 1(A) am a resident of the precinct in which I am offering to vote or am otherwise coil by law to vote in that precinct, (B) was a resident of the precinct In which I ant offering to vote at the Ante the information oil my resilience address was last provided to the voter registrar, (C) did not deliberately pre fidse Information to secure registration in a precinct in which I do not reside, and (D) am voting only once in the election. "IURAMENTO DE VOTANTr:: Al finnar con mis iniciales cl cuadro murvado "Accptt) Jununento", yo deelaro o alirum que (A) soy residents del prccinto en el que otrezim voter o que de otro modo estoy autorizrtdo pot' Icy pate en cste prccinto, (B) era residents de estc prccinto cuando le di a[ regis(mdorde vatantes la inibrinacidn perteneelcii(lu it nti direccicin residential, (C) no di inronnacihn ralso prenteditad-tawnte para asegurar mi registro en un pret ea el cual no tesidu, y (D) votard solamcnte una vez cn In elceckl u. *VOTER'S SIMILAR NAME AFFIDAVIT: If it is determined that the name on the form of Identification provided under § 63.0101 is substantially similar- per § 63..001(c), by initialing Ilse square iabi "Sindlar Name Affidavit," i swear or affirm i am the person on the list of registered voters or the person on the voter registration certificate, and i am one and the same its the person named on the idclldficatton provkl "DECLARACION JURADA DF NOMBRC SIMILAR DEL VOTANTL•': Si se dercm Tina que el tonnbre en el funuulario de identilicaciem previsto en § 63.0101 es substanci;dmcnte situilar pmvisto en §63.001(c), al coloear rots infcial el cuadw marcado "Aceptar Deeluracioa Jurada",1ur0 o afinno que soy la persona m [a lista de vnhtntes regis ratios n to persona en el cenilicado de registro de votantes, y yo soy ono y el mismo con[o la persona nombrada en la identifica ptvpurcionada. Far use In Primary Election -A person commits a criminal offense if the person knowingly votes in a primary election or participates in a convention of another party during tfte same outing year. P:ua Uso en lit EleecOn Prinutria - Una persona estii culpable de unit 0fensa criminal si till persona vota con conacimitnto ca una cleveitin primaria o participa cou conocimfenta en una convencidu de ono partido politico durum of ni-kn)o afiu do vomcidn. c S. ® o v n n tOW1310A lap O[[f:11UTOQ) SSa.IppV.1310A � � y `^+'' .r � • N `y o .",, � 'I � t"�3�� �• "I in i�31`t. *J �3. t .� G o (1.10130a[3 alit odi,j_,) IiI)I.)3ajj, JO alis ` (apu0dsatto} 1s.m3to(nf) (algnaiiddVj1)la'tlJi V�� -C'sb00i9i?P/l ?? a - . y, �-W V��,- Pop UP �ILWY otaulaatd ap'tunN (sa)ur )o ap nis.-i) .)sil Iit)d (IIl lA •oN jaulaa.trl 4unoi (110111aIa op t?t[1a3) 1101 Jalg ,10 aira (o[)[S) uo!J>rJo i I i +1111-)110tt1•)(tsuta.Y.ta4l'Z9(t11CIZ1-44`i£Q'i4'Z(n),IN Zfj)'t9.IIa.f9 ' 1 a fa'S 'nntl')) '9uo'i`J 'ttttt'i4 'i0t)'t9 'ioo't9 '1 i0u'i9 ' IufYi9 �nul)iag \ 81K."Iff 11Z-911ana//aPrtSJo.ia+t1•taaati.ulPaytaasaad PUP, 11010A NOjJNNIUVOa utJiiaa.n{f 'atgtuoN c,Gllauf toinlouttgl alsa ap ostat0t fo u0 amutuni 'ti,tuaµe.t op a,ualsise rjud srucsaaau uos sn(rnotatpr. sm"utf ts) soiut'•lo1% np atualsistt sso.tppV °attiuV apnl:[ul (ttmo3 snli.lo tlarq aql tin antuiuoa 1Stussa,)n ),In scull III rlsissr..nlim {rnoliippudi) lu"IsIssV ialoA # al[ 2 3 4 ' 0 _ A- W - V it salt aul axgaq paqu�sgns pun of urn,++5 uo! W a� o Su! WlipuaJ ,G! Ioypt V Sign Below (Fit-111C Listed abajo) (t;LLE,tf,]) J.Ii)jl:tli>Fi4 k Voter's Initials (Iniciades del Witnie) Slnillar Nanrc ,1(ndadt har\ittcr ,\nidndt" Nnunt I ht• II daracidnJnrada PeciaracbiaJurala de Nnnthre Sim1hu• der Vhranre (let w'ntontc• Nis wlaIN;- •1vuCirs oJ1114 ou Jjulgtm ja [win tt .Loci ns(ma L'l opLumgnq ut)!nvjoun sun C.Icq '( ,SCRCLII Ji7 O.11S[:?A.I (: 40 aj wwv [J[, xgai o.t (a n.IctumEo IM101.1J(J [urJt[o «11'Ja([tti4u ns.nttaq[ ;pond oa and ten,\ «115'Ct! v,tks et 1It[t:un st ,na1a.1 atil uosnai aql of se noi)tgou a m1nut pur.,talso.n a.ln)nu:tls aqt tto atul:A1 S,.,Jto1 MIA aaegl 1P:gs im:ey}o uollaaia nt:'Jtuml Jayispl u"Ils of algran s( Ja}o.1 itJ1 *AFFIDAVIT FOR VOTER NOT ON LiST. By Initialing the square labeled `Affidavit for VoterNot on List," i swear at, affirm (hilt 1(A) ant it resident of the precinct In which I am offering to vgtc or am otherwise entliled by fine to vote In that precinct, (B) was a resident of the precinct In which I am offering to vote at the time the Information on my residence address was last provided to ([to voter registrar, (C) did not deliberately provide false information to secure registration in a precinct in which I do not reside, and (D) am voting only mice In the election. "1LJRAMLNTO DE VOTANTE: At finnar con ntis iniciales el cuadro mareado "Aecpto Juntniento", yo declaro o aftmto que (A) soy residents del prccinto en cl quo ofrctco War o que LIC otro Inodo estoy autori7ado par ley pars votar en este precinco, (13) era residence do este prceinto cuando to di at registrador de votantes fa inrvrmaci6r, perteueciendo a mi direction residential, (C) no di infonuaci5n fdsa pmmctlitadanteutc pam asegurar mi registro en on prccinto on cl coal no resido, y (D) vutard solantcnte unit vc-r. on In election. *VOTER'S SiMIL.AR NAME AFFIDAVIT: if It is determined that the name on the lima of identification provided under § 63,0101 is substantially similar per § 63,001(c), by initialing the square labeled "Similar Namc Affidavit," I swear or affirm 1 am the person on the list of registered voters or the person on the voter registration certificate, and 1 am one and the same as the person named an the identification provided. "DGCLARAC ION JURADA DE NOMBRE SIMILAR DEL VOTANTE: Si so detennina que e[ nontbre on el fanntdario de identification pn visto en § 63,0101 es substancialntente similar pmvisto ca §63.001(c), a1 colocar mis iniciales on of cuadru mareado "Aceptar Declaration Jurada", juro o afirmo que soy la persona ca la lista de votantes registrtdos o la persona en cl ecitificado de registro de votantes, y yo soy uno y et mistao conio to persona nombrada on la idenlificuci6n ' pruparcionada, For use lit Primary Election -A person commits a criminal offense if the person knowingly votes in a primary election or pa•tie[pates in it convention of anolher party during the same voting year. Para Uso on la Eleeciiin Priniaria - Unit persona estil culpable do uno orensa Criminal si (,it pciNona vota con conucintiento en una elcccitSn printaria o pitcipa Con conochniento ell 1111a CO11WITCOU de otro partido politico durante el mismo atio do vutacidn' i ®� o a nm Q � i F'u � i•a (A 'f W to o ®9 =. ma v ® z Opuodsaiio,3 !s tn:ucW) talgmjIddV J! H»t[J) (31Lle10n lap oriPILLioQ) SSO.IPPb•I310A ��r►L�,rJ� � 'a��;kLt3r1 I �;�: oar/�/cam• '8���-! ��-t� (uoi000la op od!Z) 11oplalf3®atl,�1 (uo�aaaia ap reload) uo1a. al, to afar 6 olatuaJJd ap •utnN ON 111113a ld J411HOO i i u KYId$V (OIJiS) Iiolqua rl 211I-jOA .ryw,�,Lrrlta,q.jweal.ttQ91Pit" lit't8'Ifll'SY`ioll'IS'i£11't9'llw 9 r�PL21 .IOJ " SOW t`� T OA XPUH uu!iao.nCJ Jlquw+ v.Snlau[ tota'ti[) 'Gtli'r'YN-Itlov; '1700*0 '£on't%) *V10,fo 'I100,0) '100'f9 +notlaay (01dittnCtL101 JttiJ Jp [/tiIJ.W.1 IJ uJ JnupuoJ c,tuino.l op JluJlslsc n.utd scLnsoJJu nos saptuu!J!pr sraur(!s) san«tloy Jp Jtuals!sV # auturj ofs `atrxJ'isaaatarsit!lilt,"aao�sulin) PiWNWuQUNNIUNOD rppVntre.s'lt �? ,, Voter Assistant (if additional voter assistant IiItes are itceessaI-%, continue on the hack of this form) Include Name, Address COMBINATION FQRI!'[ and Prescribed by Secretory I)[SI(ne// Form 5-21) n)203s 'slits' # Asislente de Voltmtes is! linens adic)onules son necesorias pats asistenle de volanles, continue en el reeerso de este furmulaflo) / Sections 63.001, e3.utgl, 63.002. 63.ou3, (t.oU4. f?.sYtan, es.uo's. (?.ntut. 1nCiLi1'U Numbrc, Dh•Cccj(in Early Voting Roster for Curly Voting 61011.64•1132,81.1412,Ri.031,87.121 a it lb2.604'R'nm Ilcrtion Co(1c If a voter is unable to sign his/her name, an election official Shull place the cofer's unna• oil (Chock ifAppiicable) (Murcursi Cnrrespondo) the signulure roster and male :I nolmion ns to tilt• rensun the voter is amble lY) sif,•,Il. i SS shall vo)ante no puede linear su nondrre. Lin oticiul cicch)ral o nn)tani e) nomi)rr del vo)a:ne Un. el v ~ rc);is)ro de tirmas harit Linn anotaciiul indicando la causa for �u CLIA el volonle no plu?o eation (Sitio) Date of Election (Fecha de eleccion) Type of Election (Tipo de eleceion) ., = �` ) 1 C t , y r 1 �,� 1 �, a `� Ir t s Y C:' F.. Jfra? vt -� S P&Lu ll "rounty .Precinct No. VU1D Poll list (Lists de Votantes) Voter Address (Domicilio del Votante) Num. du pmcinc)o . L i i 01 6 a 37 `1,'7S/ 1,itav i 4 ILC4 jt Ia. `/Veta /0-Y . .{ j } 9 z Cal", "o j a 4 e—tx I ` �.t1 t©�Ovis S (2 4, tea, A4r A e tt urno)gonopnurnwsluila ,:Y4rl,av,os ,,mx)nvlop ' awiunp oappod oplurd ot)o ap uQlauanuoa run ua a)ualtularnu)a uoa rdla!)Lr.J o rpmuwJ upnaola run Ito-o)uauulaouoa uoa rlon I:uostad )I) !s p:ulwlia rsum3o pun ap o191.dpta r) ) nuosiad run - rin uu! td un!aaal,I rl ua os,p,g n rJI"I ni top �n)pn)g au)mu� ap {l)ikCi): 1)J)Sn �1U.11,]) a40(J�[ U D e)1� •.IraA ;lullon awes ay) 9ulinp.S)ji:d .laylollu 3n unpuanuoa tt III sa)udlap.md ao uol)aala Sit, r. uI S0)0A A19ulmoull nosaad ay)31 asu�po Irulwl.la r sllwwoa nosaad fir- uopaal a :farw}.td u1 -,)sit aunt rpx.,np upp�xb", aq xpxn)p up11111, aaq III ,r•)iunlq� .Y)+xPlU\' •nprnn!»ndo.tJ „YulanlYl+ppluv muNVJanluls Authority conductingelcclion Il'solujolul taragguzpl rI ua uptuynnt )moslad ri mull.) olusnu la A oun Aos oAA 'sa)ur)on ap wts!9aa op opr.»)p.taa Ia ua wosnd r) o soppa)sl9aa sa)tngon ap u)s!l rl uo ruostad ul Aos anb otwyu o omf'„ppemf nq)arljgw(I ividoaV,• opinn:w wpptn is o z situono oa r ` a v ua o)sln Lid Yr )m!s a)uant Y t�uu)ti( nS Sa , e uo o simud a)nY *t qua ! ,\ oYm. nuun 1ua :vt tuuu o-mbrummili -,s ! a ) 1 l 1 I ()100'C9S I, I'.• I 1010'£I s ) . 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I . • I I 3 1 1 I• • p • S:91,N\,LOA `I]U NV-IIW1S :d IMION 8C7 VU\'df)f N40DV)i\ -D IU, slill)lul )aplAotd uoprayi)uapl all) Ito pauluu nosaad alp sit avers ail) pull ano lull I putt oq) (to uosaad atij in siaim pamisl9aa 3o )sII aq) Ito uosaad all) tun I uaallJuan ara.iis 1 „1)1AttPN3V aw)tN al:l!tu!g•• s,aa)nA Al£ Cli, t Q LAN) gaqul tunbs ay) 9ulleM)Iul All `ta)11)il'i9 § sad lulltuls ,<pt:!)uI:)sgnx S! 1010'f9 § aapun papinoad uopinypuaP! 3o waq) alp no awuu ail) )rq) paulluaa)aP sl 41 JI 'J.IAVUTAIV ;II1V\ 8V'I11118 S,11310Ax uQlaaalo rl ua zaA pun a)tnutrios vtgnn ((I) A `op!sal ou Inns la ua Sworn to and subscribed before roc Ibis ulaatd on ua wisl9ai !tu atanlosp turd aunamptalpamatd rslr.) uglamwq)u! !p oil (;)) grlauaplscu Ucnaaanp nu r. opua!aaua).tad uplaptuao)U) ):I sa)utgon ap.tupra)S!9aa In tp al opurlla om Ixud om, np a)uaplsa.t Via (li) `olulaanl a)sa ua �p � IOA Cued Aai iod oprzuona: Ao)sa opou) (u)o ap anh o.tlgnn aazaaio anb to uo mulxmd lap aluap!sal ,Cos (V) anb otualp: n oau)aap nA `„ounwwni a)daaV„ opmumu o.Yprna la salrlalw slut uoa aruutl lV::j1NV10A ',AGOLNdWV?lllfe --—_.__--- day ofl. 0 . --- •uo1)aap alp ul aaun Aiun 9uI)un lull ((I) pun laplsai )ou op 1 galgm III )aulaald I.-ul uopr.gs!9a.I ainaas o) unl)rwan3ul aspg Ylnotd A[a)ttaayllaP )nut PIP IJ) `dB l)s1 hi la)DA ay) U) paplAo.ItI )st:1 sl:.ii ssa.lpplt ,1alWplSa.l .SIU till llopttwlil3ul )ql .)lull all) )L' a)oA o'l 9auago wit 1 galgm ul )aalaadd all),lo )uapisal u sum (,a)1)aulaa.id )t:q) ul a)o.i n) mul Ay /telly Voting Clerk �ppua 391m iay)o wit io apm of tnlaa33o lull i tlalq,m uI )aupa.id ayl3o ulaplsm I: lull (V) I pill w.Iypt io .lra.iis I "' )s!•l Ito )oN ia)0A.Io3 )I•+ttPIIiV,. palayul aarnbs aq) 9u)lr)liui Ag -J.SI'I NO LON JI3J•Or1 N()d ine # I Voter Assistant (if additional voter assistant lines arc neccssar�', continue on the back of this Porn) ➢nelude Name, Address COMBINATION NATION FORXI and Asistente de Votanies (si lineas udicionules Son neccsarias para asistente do voltuues, continue on el reverso do este rormtdario) �, hlCluya Nonible, t)itccci6n Early Voting Roster For Early Voting ation (Sitio) ',c�cf Date o Election (Fecha de election) 516 county Precinct No, WID Poll List (Lista do Votantes) j Nam. do 1'recincto r� DJIhlit1 L-I G i I i Paola {Check VAptihcuble) (Murcur si Correspondc) Type of Election (Tipo de election) a �y -k 'Sf,1N.Iit7— E Z � .a itpcs$fjt,4., ® O O '•y L- /la"" L r - - --a - - .urnarton oP nor ausuu 1, uran aou od o thud wits a uplauanuw run na o)ualtuloaltoa won adlanard o uurmpti uglaaala run ua otuanulnouon uoa rloA ruavad jut !s Irultuun rsu, to nun ap algudpia Visa Vuosaad Iluil - I; IMIN uql,„13 rl ua osf) r.Ir.,l P n)l p. p crag SupoA autrs ail) 2npnp S)ataLtag)oml,Io uopnanuoa It III sa)udlallaud ao uolinaia 4Avtul id I, ill salon Alaulmoutl unsaad aglJl asua,Iio luultupa U s)IIUIuoa unsaad V - U01pai j R.lrtulad ill asn aog •uprunl:uodwd :nypuapi al ua rpVagmou ruosaad Vi omna oulsnu io R Dun ,Cos oA A N1111 von op oIIsl3ar ap opunylua, Ia ua euosaad r.! o sopta)sl tat saiurloA :'P r)s11 el ua liuosaad nI ins anb ouutlr o mar' rpnlnf unlarirlaaU arlda.)V opralmil tziprna 1, gVl,tui situ araoiw iV'(a)loo'i9� IIa o)s!Aoad arp1111s,nlangeloutysgns sa 1010'fg > ua ols!Aaad uglnuagnuopl oP ourinuugl I, ua aaqulou Ta,nb Vullwalap s IS :9,LNVLOA TICI NV7IWIS U01VON HU VUV-dnf N0DN1H%`1J:1(1r )leoad uoliraypaapl III) Uo palurU unsaad a,ip sr anus aql pull auo tur. I pull h)utalilraaa uopit.gslyaa.iaion aq) uo uosaod inf; it) s.ia)nn p'aaalsl'daa Jo 1s11 aql Ito nnsiad atp lull I Uiaglr. ao.icams I ,,'JI,Aup4JV auluN Julllulg„ quI aaunbs agl gullvIllul Rq `(3,)Ioo-c9 § .tad airlings Slltipiugsgns $1 ►olo'f9 § aapinl papinoad uoI)I:ay1)uapl,Io magl iql Ito atuuu oql )rq) PIUM-Map sI ll31 :11AVUIddV R11tVN l!WIMIS S,H410Am •upla3,Ia nI ua zoo run a)nauiinos PIMA ((I) f 'oP1SN oil p).n,], u, aad un ua wlspim nu aran9a v Vaud mnaturpniiii ivaid rslgl uol,rttuolu! !P oil (,')) jIgxI1P!saa unlnaanp !ttl r, opuolaatlala,d npl,rtmadui III sarilVloA ap aopralsigm in !p of opurna o)uinaid visa op a)uappm raa (H)'oiulaaad alsa u, nand ,Sal and oprzuminr Atilgi opotu onto op anb o ar)nA onzNaio,nb la uo onnan)d laP alunplsaa Am (v) anb ouuylt o oarl„P oX ` I�uatmnnf aida,V„ opr.,aum oapunn 1, ;IIV!,lul sou uoa arlwg 1V:JINVIOA HU O•LNi]W V21fn., •nolpala all) ill anno Rluo 3tU)oA lul? (JU) par `aplsaa )oil op I 4al4Al to )aulaaad V ill uol)raisl2aa aanaas o) uoputuattlul asp;) lad Alaluaatlilap IOU pip la) `aaa)sl&i t aa)oA aql o) paplAoid )sill sum ss uppli aauaplsaa SUI uo uoputuaojul aq) amll aq) )u amA o) gul.iglo tau I hotpot ill )aulaud aql to )ualilsaa u sr.At (g) `Vault id )uil) III a)OA of mill Aq �Ua aslAuaglo tau ao a)on o) Nupago tuo I iloplAt ill )aulaaad sill Jo )Uaptsm it UIr (V)1)rq) uu.iyli: ao aua.tts 1 „`441110loN.ta)oAan31IAuPlJJV„ palogul aaunbs aqi gullVplul Rg -.ISI,l K() lom t1:IJ0A 2IUd 1lAtr41! ddV • I'vescritled by Sect'eatt;r of Slated Form 5-20 Utl2018 Sections 63.001, 63.11011, 1,1002. 63.00.1, 63.004, 63,n06, f,?-AVI), 63. )wl, 63.011, 64.032, 81.t1112, 8S.i131, 87.121 will 162.004 Tev,s Elerlb,13 Code If u voter is unable to sign his/her mane, an cteclloli official shall lilace the coler's nallw nn lilt- signature roster and make a notation as to the reason the I oler is ua-.00v "o sil;rt. Si ulgun �'oimite no puelle linear su noinbre, tin oficial electoral o ni mn5 Cl ITIiiTIi'QC,IC1 Nvanic m el rcgistru do flnnas y har:i uoa :Illotaci6tl indicwido ill enusu Por Ia cowl i t VOW14ic lls, pwdo Shatar. .auep,ttap -poor npl.}r�n)aan •t+r t nu P!Y ,apuggt lap .,nanRS aulnu�,, ap rpnrnp nglaranlaatt ,q+nPIUY amn, anlpulS I:�)urin� lap sapanlu!) %Iv0IU1 s,.Ia)oA �14_rllEttlll"C` ll'Yl'i)ll)� �ol [© (t)fi qit pa)sn �tttly;-0) A�toiali 011IS Authorily conducting election C %-T,,i c, r /4 iLlfaLitfJO Sworn to and subscribed before me this awn (Illy of 2 Early Voting Clerk 1. L, ^^:>'j"lA-t7�$ti --F'►�'"v7�Y'` j� j— yaai;? 9u[toA ,C[lua 0� J I s!ql atu attiJaq p.i%iisgns pup.. of tuomS (� N 3 (;� 3 t1/ Voter's Initials O (hlicia(esdel Votante) uulwa[aquiptipuon'(1pot(IoV Shullar Nam AtBdatitl'orWgr Afiiduiil" N'otnaU10 nedarudbn Jutmda ❑ tiarxidu Jul -Ada Sign i3elow (F'intic tts(ed abajo) de Nanihre similar lei aranre del \mmjre• No on fa Lhrt' het .Tr..I i a.tnlru-al!; 'icui.tg opnd ou aturito.% [a [rna rt .rod rsnn7 r.[ opuiaiput nq! )aloof, utm „Intl ,C srttcnJ ap ugst"ko. [a tta oluuoA [op atc(tuaa [a n,uttunt r. Ituo!aalo [rtnyo un'a.uµ iou ns.wung opotu( ou alunua.\ un8[a tic; %WCS o1 altleun sl .talo.v aqi nosu.i.1 n[j of sit uoprjoll a wiClll pun Ja tso.l JA nlnlull8 it[; We esucu s,.laloa acit aattld pays lelagjo uoljaala era :natal .1aq/sp[ uyls of a[quun sl x1j m r. JI .i!ut,D am!taq_.l utwn,!.too'Z9t plultZi'L8.1£11'Ss'it!t!'Ifi'ZOT9'11010 ' 1610'f9 1600TIP 1941010 1170010 1£0010 'Zttt!'f 9 ' l l oo'C9 ' l oo'C9 suo!pas ��810Z'Ut ItZ-S ElIM1A p alrls J't .Luae.taas Sy paq!.tnaad t tTL_ *AFFIDAVIT FOR VOTER NOT ON LIST: By initialing the square labeled "Affidavit for Voter Not an List," 1 swear or affirm that 1(A) am it resident of the precinct [it which I am offering to vote or am otherwise entitl by haw to vote fa that precinct, (B) was a resident of the precinct in which i am offering to vote at the time the information on my residence address was last provided to the voter registrar, (C) did not deliberately prov radil se information to secure registration in a precinct in which I do not reside, and (D) am voting only once in the election. "JURAMENTO DE VOTANTE: At finnar con mis iniciales et cuadro mareado "Aceplo Jurvmcnto", yo dectaro It atinno que (A) soy residente del prccinto ca el que ofrezco voter o que de anv modo estoy autorizado por ley porn vo en este prccinto, (B) cra i-esidente de este prccinto cuando le di at registridor de votantes la inrormaeOn perteneciendo it mi direction residential, (C) no di inibimacidn Ihlsa poameditadaniente para asegurar nii registro ea un preen en ei coal no resido, y (D) votard solamente una vez en [a eleccidn. i „VOTER'S SIMILAR NAME AFFIDAVIT: if It is determined that the name on the form of Identification provided under § 63.0101 Is substantially similar per § 63.001(c), by Initialing the square labeli "Similar Name Affidavit," 1 swear or affirm I am the person on the list of registered voters m• the person on the voter registration certificate, and I am one and the sante as the person named oil the idendfication provide) "DEC'LARACION JUR ADA DE NOMBRE SIMILAR DEL VOTANTE: Si se detcmiina que el nombre en el ronmulario de identilicacion previsto en § 63.0101 cs substancialmeote similar previsto en §63.001(c), at colocar mis iniciales, ct cuadrim matrado "Aceptar Declaracidn Jurada", juro o atimio que soy la persona en la lista de votantes registrados o la persona en el eertificado do rehistro de voCuites, y yo soy una yet misnio canto la persona nouibrada en !a idenlificac! propomionada, i For use in Primary Election - A person commits a criminal offense If the person knowingly votes fail primary election or pardeipates in a convention of another party during file same voting year. Part Uso en la Fleccidn Primaria - thia persona esta culpable de una ol'ensa criminal si tan persona vort can conocintiento en una election priniaria o participa con conocimicuto eft una coaveacido de otro partido politico durant� el mismo af�o de volaeidn, i (01LIT3 .on iap OTH311110G) sxa.iPPV -10110A R ® eD (tioi000la ap od1j) umpaij_lo adgt � y I (. pUrdtial[tl,� eS 1nalujAp (1[gmilc1dV jl ).iiq j)l - uUTJOA ,�PU-3-10J -1040111&1140A SI.1954 p11>; WNW NOI VIKI£tI OD tir--Y (SOJU WA ap 1t 1s!l) JsT-1 110d bv IoR C tlr CK, 6P.G�S���ll oL,.0 g well _;�-g rgj:111' Q111A `t_ V C `/ / Ca --rli A I l (uoTooala ap t:tlaad� uol(aa,11-.1 0 a1r(I otati!aaadap'tunN i •(IN 3aulaa d Sitmo, V_ (V V—t-0 s v 3 ((t[)I�) L14i�La�US i i ❑plaaa.utT •aayumN r.,inliu[ � (opn[nttuill oisa op usaa,w.t [o uo ontniuo,'so!urµ>A op atua!sisr, rJrd siau;sxiau uos saluntoA op atuatspiv # all! Ssaappd'aweNl apnlaill (nl.loj sitIJ jo tlauq allj no )ntlltnoa'.1.It'ssaaall mr saul[ juCjsissr.1.110A Intloilippr jl) Il16jslSstt.laj0A i COIVIBINAI l01! FORM and Voter Assistant (ii'addition�l enter assistant lines are necessary, contonue on the back of this form) include Name, Address � T ['rlscril)cd o) Sccrcnv� or'+uue r, I�or,n 5-ao ot;�ols Ine # Asistente de Vol(tllles (si lincus udieionules sun nec"arios Para asislcnie de votanics, continue en el revei:so de este formulario) Sedions 63.Ue), t,3.4u11, 63.bn?, 0.o03, 0.oua, 0.au5, 63.UU9. 63,0101. j Inclu)a Numhre. 1)irecci6m Early Voting Roster for Early Voting63.011,64,031,):).002,s5.1131.87.121an:1162.004 1v%mI-)ertiun(ode i i 1oeatioll (Sitio) lounty Precinct No. Num, de Precincto 22 Date WTI EI�ctioil (Fecha de elecciou) , 1 WUID ataa-1�. �'� 3 Si 10L3V-3'3q6 V i t ail.$ "i, a7 'Z�.F'i /10e l/C94-2 � Poll List (Lisla de Volantes) S corns ��,•taQ. t�. !� rlr� � £ P'f.lq lq t (Check WApplielible) (ivlarearsi Corresponde) if a voter is unable to sign his/her pilule, all election official shall place the caller's onto£ on the signature roster and lunite a nolation as to the retlsoll Ille voter K 1111104C to sigiv. S1 algfw volume no puelle finnar su nonihre, un oficial electoral 111)13111111.11 el nun)bre del o!;nite en 0 Type of Election (Tipo de election) a o os = regisiro do firnins y har.i ul:a anolaciun indicundo la cause por �❑ cuui el cotalA;: no ptsdu :SI„lar. &C..4/f;?.4t_ i —SPf,C114 L Vrit-nr Arlrirecc (nomicilio del Votante) a o , 7 e 'ign.tture (I irmyt'� ©t uplatruin ap our. ottisnu I. ,u)c)) cl ua o.V .mna)gi hp 10uuan od o rd oJto a uoaoa run tta nntanulaouoa uoa rdlanJrd o I:ucunad unlaaola ?:un uo omanulaouna ?too u)on ruosiad p'1 !S Irulwtla tsttadn run op algrdpia r)sa t:uoSJad ru)l - tnarunJtl uglaaaiFI ill ua nsn t:Jri1 q)n:uvi rp n nr is *utnn.� r P oa.0 !) p tuuad 9)auanullm awts aill `3ulJnp n)aud.latllntlr,Io nogaanuoa u ill sa)udiail.n?d ao uapaala dirwUd ): ul salon SIBUttioull uosJad alli ji asua,Uo Iuulw)Ja r s)IwwOa Uns.wil V - uol)aal;I davullJ,I Ill asn aoa up"'rsrt,mm � a 'n`'tuv i*�a .n0oi.m:1711upluv anic'N:.ml)1vls •11prun! vodaid taragguap! ul ua nptn(julou uuoslad t)i onion owspli is d oun Sos o.0 d •Sa)tutlo.s ap o-us!'v 'p opragpJaa la ua ruowd ill o sopr.,ps1lial saurinA ap U)sti VI ua t:uosJad ill ,Cos anb ouugr o wilf'„ rpluu j uularJrloap Jr)doaV„ opt ;urtu oJprna is (o)ur)q.N lap sapnamp S:)IIU0tUI SITU JCa0I03 ua nri!AaJd Jtanun a)uaugrnuclsgns sa I ono-f9 § ua ols!Aaad ulnatagltuap! ap opl:lnttuod la ua nJgwulI is onb I:wnua)ap as !S t31NV.L0A 7]- (] 11THINiS HIIHLNON 7U VUVllflf NOL..MVI'Mo sloplul )apleoad UopragIIUap) aq) uo patu:u nosaad ail) str aulrs ag) pill? ano nor i pull la)ragll.laa Uupta)si3aJ Ja)on aq) uo noslad all) Jo sJa)on paimsillaJ,lo )sll )ql uo uosiad alp uut I tU.IgJt: Jo Juanis I „°)int:pg)V auu:V.ngiugS,+ s,Jalth Iaqul aJunbs alp 3ullul)lul All 1(a)i00'f9 § iad irlituls .(IIuj)u:)sgns sl 1()lo•£9 § .tapun pipinuatl uopuagimapl,lu ivaol alp uo aaluu -)ql )rq) paululai)ap sl )l Jl :.i.IAV(Iljgv 11UVN 8v 11NI14 S.N:110Ac vglaaala ui ua nA tttln a)uawrloS pJr)oA (U) d'op! v oil irna to ua U*.Ud un ua linsl3:u !w Jr.JnsaSr. rartl amaun:prlgiawanl rspg upnrtwq)uI !p oil (,))'p!lauaplsal unlaa;,Jgi !ul a opua!aatlouad uq!ortwgiu! Ill saluvim ,p J0pr3)s190J Ir !p aI apul?na oluiaaJd atsa ap a )uapp;w wo (9)'o)u!aaJd atsa ua qoA tried dal Jod oprzlJouir do)sa opou, oJ)o ap anb o Jlnon oazoalo anb to ua olutnoid Ill) aAlapl+,J Cos (V) anb owign o ongaap od `„o)u unwif o)daoV,, opens u oJpuna is saltnoiu1 sin uoa Jruug IV :H1NV10A HU 01N INV)lflf a •uol)aala aq) UI aau0 dlno ;!Upon wu (U) par °aplsa.1 )ou op i galqni u) )aulaaJd r ill ut)I)ul)slSaJ ailwas o) nol)mnJginl asiv.1 �tiwd Sloungpap IOU PIP (,7)'JUJ)si9aJ Ja)an aq) o) paptt id )st:I sent ssa.tppu aauapisaJ ,Sat no uullumi0jul all) atup all) )u a)oA o) gUIJa),Io tar I galgAt of )arlaaad aql jo )uaplsaJ u suet (U) yaul.wd )uql uI 910n 0) slid d(I �l)!!ba aslnuag)o wu Jo a)on o) 9uua))o nor I galqni ui )aniaaad aq) to )napisa.t grm N01UN H3JL0A NUcI J,IAVUI:i:IVauwn(V)i )Uq) ul,iUuauat?ants I Aar1 olil(t: o)sn aura; l) .ioa)l�g u[ ( 1 P .- S Aulhority conducting election C' vr'l O v !Y CA f r+u 'Id - S,eurl to^nn I ubscribed belbre ill, ns day of Curly Voting Clcrk!421t/ys!,t�tw--- _ t z —=.vyrT.E/i��.v,� _"��^titij:l[.[,I:�uttctA,Cltetf -- ~k ry J f 7 9 1 slat a[rt aulJacg pagl.ns<pt pun, at toAls G NUJ ^t 2% v 3 Voter's initials (lrticiales (lei Vot:mte) uort.hla3utau(tucfr.Quoc[ttlV Similar Mow AnldmitFor lour Allid.W0 Not on List' 11,viarachiu Jomda Dedartcbin Jurada Sign Below (Fitzue. used ab till) de lNonihm Sin{ifm, del Volonte del lirralw* Nom la 1.1,fa* OA �a 10 (lauul�) a.irtll:ll�a, MUJq opnd oU alnntoA io lnoa r. tad B-AUM Of opurnriiui ugt ntaur, nttn tetr.[t ,C srui.uJ op oilslaai Ia ua oltiulu.[ f:1p a1q[uou I:r tuclant a lrnJl.,ala (r. aIga ita -mgc[tou ns.tr.[ctul aj-Pnd Oa alunleA un3pi lS 'uY(s (it o(qucui sl .010A 1411 uoseaJ'elk ant sr trogrloa r ayrut put: Jags(Kl a.lnioufils atgl tit) auu:a s".n1o.l a(It aAegd Iltuf; lvimijo nant;nila lit[ laturrt JJrl;slll u;Irs of aggnun sl.rato,t r JI 411o,) unll•*rl}1 seal. tt{in 11I'4:,j `t$n'a "i1J41'lil'Lf41'69 "It4i'S9 I Otf)'ti9 't,4111'f9 '9n11'ti9 'tIHPti9 'ti@t!'f9 'c"1114'f9 "1 NIII'k9 'lnlr>:Y1 saaliaag SIK110 oz-i {a.cn:I 1'1 %trcia.oa%{ Al pattl.rna.td r *AFFIDAVIT FOR VOTER NOT ON LiST. By initialing the square labeled "Affidavit for Voter Not on List," 1 swearoraffirm that I (A) ani it resident of the precinct in which I am offering; to vote or amotherwise entitfj bylaw to vole in that prechict, (B) was a resident of the precinct in which 1 am offering; to vote at the time the information on my residence address was last provided to the voter registrar, (C) did not deliberately provi, false Information to secure registration in a precinct in which i do nut reside, and (D) am voting only once in the election. *JURAMENTO DE VOTANTE: At finnar can mis iniciales el cuadro marcado "Acepto Juraniento", yo dcclaro a afimio que (A) soy iesidente clef precinto on el que orrczco voter o que de olio modo estoy autorizado par ley pam vo en esle precfnto, (13) cra residente de cste ptceinto cuando to di at registrador de votantes la infonnaci6n perteneciendo a nu clirectidn residenefal, (C) no di inl'oruntei6n ratsa premeditadamente pare asegurar mi registnr en un prech on of cual no resido, y (DI vowrd sofamente una vez on fa elcecidn. *VOTER'S SIMILAR NAME AFFIDAVIT: if It is determined (lint the name on the form of identification pnrvfdcd under § 63.0101 is substantially similar per § 63.001(c), by initialing the square label "Similar Name Alfidavit," i swear ar atiinn I am the person on the list of registered voters or the person on the voter registration certificate, and i am one and the same as the person named on the identification provldo *DE.CLARACION JURAOA Di: NOMDRE SIMILAR DEL VOTANTE: Si se delemrina quo of nombre on of rarniulario de idcntiticaci6n previsto en § 63.0101 C."substancialmente similar previsto on §63.001(c), at colocar dus iniciales el cuadro n[arcado "Aceptar ❑eci:tracida lumda", Jure o aflimo que soy la persona on la lista de votantes registrados o la pers,uta on el ccrtilicado de n:gistro tte votantes, y yo soy into y of mismo Como la persona nonibmda en la identificaci proporcionada. For use in Primary Election- A person commits a criminal offense if the person knowingly votes in a primary cledian or participates fit it convention of another party during the same voting year. Para Use on [.I Efeccidu f inuiria - LJlt.[ pCM011n e5ni culpable do una ofensa criminal si tag persona vote con conocimiento eu nna ele cOn pritnaria a participa con conocimiento en una convencitin de otro pattido politico durante of mismo ono de %ofachin. %31?{1' I ZI RitVa -Pt kvi dl ''c3 ,I ui �h iJ as V V ! g V I rrto i I( sa Ulf (1 .1 B si S1 fD t z n 3P ) .-0aS I iI tI UIfiA GlZ'3rv9 ;ej �.ot"�� C p 1 �,� I I'tV (Lioiaaala op odlL) tlolpai 1`g jo allay (LIC UIX1i:1 aIp lili:laj) 110la3313 }® aa1:(i (apuuttsuul,jlaJWJlllry (aµinal(dd��Jl (aaq�l `1111.101� X1.Irj .10J .Ialsoll 1 t111 'ajk s1.I1,a 1]II9 WN0A NIOLLYNIHIV03 d otaucnttl ap wnI>I i •oNjaupafd Sjuitol, lImPita[)I uulnan.t!(1''.tzluul,v( n.Cnfatt( (OfJUltnL QJ 01sa ap ONMAaJ 13 UJ :{ltnllthia-S.11Mrl,L\ Jh OIna15I511 CAitt nay S,'NUU0lnlpe sn:11111 Is) S0I11610A ap 311011fsV # aI11i ssaappV `atuuN apnl3ul (ruin,{ slgt,lo.13uq ill tie anttiluoa 1,0rssa33u 1.1r saint Ill r.Isissir.1olOA Itill ol11pp" JI) Ill itlslss{Ltaivy v l) N'oter Assistant (if additional voter assistant lines are necessary, continue on the back of this forin) include Name, Address �O' j�. B NATrON FORM and Prescrlbcd b) 5rsroar) nl Anted Form S-2)) n1l2n18 Line # Asisteale de ♦olanics (si lineas adicionales sun necesarias para asiaieme de %olawes. ccrritiniie on el ievcNo de este formtdario) Early 0.11011 63.t1o11, 63.002. 0.na3, 63.104, 63.006, 63.6114, 63.0101, hieluyallombre.Diwcci6n Early Voting Roster for Early Voting 63.ut1,64.432.1MIU2,83.031,h7.121uod162.110)'t'cxaaI-Acclion('udc L cat' n (Si 101 r _�t�/t�L c County Precinct No. Num. dePrecincto Date oi'EI ctio i (Pecha de Lleceibn) � 90-3 VUID Poll Ukt j Lista de Votantes) � �Y / � 9 tftJ /ta3oia°779 M /fate t f a1fe�cl3 31 �(4 rew (Check itAmilicuble) A4urearsi Cornspuude) It'll voter is unable to sign hisrher nanw un Ovalnn official Shull place the voter's naale on the signature roster and make a nowlion as to the reason the voter N unable to sign. Si AL"611 votunlc no pnede finimr su nomNe, nit obciul L)ct:1a>rul a xuriar°i cl numbre th l t wants en el of Election (Tipo de elecci01}) Q c Y = rcgistrn do firmas y hai:i una anolac i6n iodic❑lido lu cans;, por h) vial cl volamc no pudu 1',vn ar. lType ei �'.�11 � � � � t`ft iJf'.l,i.r'�.V'!t•� �'t r`�a..f f 'Unt-pi• o a. ; -� .. ors b M Adrirpcc Mm-nirilin fit-! X1ntnntt-,1 - - ,upyvlut Jp 01111 ou)snu 11 o)umlip oapllod opluud onto op uplauanuoa run ua omanulJouua uoa rdlJnard o rurunad unlJJnla run ua o11J!tU!JOun3 uoa L'IDA 11110saJd ir) Is Trump.) rsunjo run np Jlgrdpnn p)sJ ruos3,Q rup - rinnulid unlaanl_I 1!1 tin nsf) card •jra6 BupoA awns aql ;Julanp Aiaud mgloun jo uopuannop n ul sa)udlp!)aud ao uoppala,Girtulad n ul sa)nA Al5ulmoug unsaad agljl asuajjo Iunlw!aa u ,)Iwwoa nuctad y- uullaal I A-ntwlad u! asn ao i •rpvuo!Jaodnad 9 ? , ?s , , ).18w, n):Jllaa. rl) )s)ta.l,. I lu,t.uo, 1 ') 'rn u.r., r. , ,' r', uolaraypuapl r.1 up rpragwou uuoslad i:1 otuoa omsnu Ia R Quit �(os o,i � s. )uLmA pia) . I p J.) i tin 11 u, d l,1 t , i ! ) , i t p) ,l I sa, d Ig ins . tb ouuyL I Dann('„tip a (u•! at In. ❑ a td„ N„ i pt.aal?w wI l.n. 1J uO salrlann situ irmloa in 1(a)!00'£9§ up tuslAwd .ngau!s mtmugr.!Jur)sglns sa i o10'£9 § Ina o)slAcud upinraypoap) np ouepnuagl 1J uo mquiou la anb ruituimop Js IS 71N1r1oA 7d(I IY i]lNIS 3i1i1110N U V(I1fNllt NQ1J4'!1V 7J J(1+ •paplA6ud uoprallpnapi atp uo pawnu oos.tad atp su awns aqI pun auo tint I pun `a)itpypaaa uopn.t)slUl aa)oA aq) no nos lad aq) an Sla)oA pwa)si2ar jo )s!l aip no uosaad aq) iuv I wuglr.ao iraArs I „')InupjUv awlrM ltglllllq" paiaqul'aarnbs aq) tuiluplul Sit 1(3)100'£9 § .tad auilwls (Itujiummin-i %1 i()10-f9 § aaptin pappioid nopray!)uapl Jo ulaoj )ql no atut:u aryl )nql paultuaa)ap sl )! jl rJ lAt tll9d 1' iJ1M N1"I111US S,a i LOAv uolaaJla 111 uJ xnn run aluawrins -,M)uA ((I) X'op!sw ou Irma in ua ' , , , , ? U UI 1 f ll rl. Il, ).. a D ,aJ n 11..1Jd L 1. LIUa U r .. UC OA . ') ' , , 1 4 ? , , , �, , o)ulaaad tin ua oa)slftai !w aran9nsr raLtl . )u, wnprnp, tit, ad )?spli uplJt uu .i ..I (J) 1 . P. u, !. aip nu r npu.1 , ) J . I t 1 p aopw)sl9w 1r !p .! npm.n, nlu!' , ad , t.. , p . )uJI !. al t a. (£1)'oun, wd . )s, u, ,) , , ,)S , )) ?„ n ) , s , ) n i J I J u. 1 . ) ) tit .. ! o uamwn i d , �, ' ) '1 ) ) � , 111 . of . ZI Oti > L I i J O 7 C it Lll , o rcno nu tSo ., o i w i a o , ) anb o ar tin n. tw o . nl u ) ) d nl i uu ) 1 u, arm oa ima J s, laamt . Iw tit a a n .rti+ion wm1 �' l and p I ) p ) I ) J 1 1 P 1. tY) ,1 1 P ,, f V,. P P I i ... ,11V :H1.NV.LOA d0 C)J.N311N106It7fe •uappla alp ul apuo Slut) SupoA wr (a) pun'aplsaa )ou op I galgM ul )pulaa id n ul uopra)sl23i O.Inaas of not rmaojul aslrj opinoad )on pill (3)'rwts!0aa aa)on atp n) papinoad Isrl skit( ssaappu apuaplsaa {W no uopniumllul aq) atup -)ql In aloA n) 2uIxijjo tuu I ga1gA+ ul IaulJa.id agljo )Uap)sad u sum (t!) `Wulaaad )nql ul a)oA o) Aug Rg pappuaasleuag)o wu au a)oA al anlaago wu i galtim ul )puipaad aq) jo nlaplsaa is mn (�') I luq) nLtl{Iu ao at:anis I „hs! i tin )oN aa)oA.toJ llAnP1JJt„ Palagnl anrnbs aip lulinplui ftp 4LSI'11\O LON 4,310A 80:1.LIAY (Iiaal'x OltrI tti to 4V a UMM WP npn.lnr upprielaan .)q'l vv ON as )81 an:) )PnPlul' .a)unpti lap - .. attilugg vipun� all up)unr vp)av�npall .)rnPluv n13191� attPmlS (aun?)oq Iap sJp:iJn11} sitll)!tt l s,aaloA - -v/ AnOwrity cuntllleling cleclior er t t f d -F c ,?, 14/k-�d Shorn to ulul eubscriKA 1)cforc nm this � r i1, f t'i�. 20 w!I'a9 ) t. rl 1 i tin ( . Voter Assistant (if additional Voter assistant lilies are necessary', continue (in the back of this forty) Include Nanic, Address COMBINATION I+ ORAI and Sedi Prescribed 1/1' 1l 63..10,� Alt -092 1'ona s 3. . 1;.r)) ��� Lilw # Aslstente de Volallles (sl Illleas adiciunales I'll occesarias Para asislenle de volanles, continue en el reverso de esle fonlulado) { Voting Sections G3.11o1, 63,11{111, t;.III)2, G;.{lily. 63.i1n1, 63.000, b3.11u9, fi3,t)Ylll, 'L� arly Voti g Roster for Early oting 63,011,64.03?,F1.110?.li'5,0M.t:7.1Z1wid16I.0041'ekasFlectionCwlr Inchlya Numbre, llirecciim L 1 ,'-, i (CheckifApplicable) MaicursiC0lrespulldel I Lt�CHt10II (Sit* n/� Date of Election (Fecha de eleccian) Type of �Ealection (Tipo de election) i�fffirr IArJ n t-..•1 i kJ �'19L1 `� ���� U .�j Ca j>) 19i�£rc� 1. pa{Vdt-1r3 t 10 ; o o ,ounty Ptet:iuct No. VUID Poll List (Lista tie Votantes) - .,_.__. , o o Nwn, do Precincto n , 1- ri flY�rfl %.f'cl� 44 I. ell 1031,56 venmyH5350 inad 7 4 -t - i •uf»;lrlon pp Due 0ulsltn �, fIurtn o nn lid u t>,rd allo ap uplauanuua eon ua utuantnanuna uui vdrll and rwmuud unl 7ala run na y)ualun; uuna um rinn ruustad Jul is p:ulwua mu. to rull , p r)gcd(na rlso ruosaad run - rlauwlad up!aaa1311) ua osn hlyd P ..) P. •ara6 3ullon awes ag) llmanp i0ard aatpowl Jo tau) . Auua ti n} sanldlpp wd au uopaala ,Cnnulad tt lit salon Rl;fulaVouy uosaad ay) J) asuaJJu luu)wlaa it s))wmop uosaad - uoppat.l dauwu,l lit asn noel C•rpruoyuodoad pnayllupp! rI up rpragwou uuosapd III otuop otusitu to A oun DSOs o6 A's,1)u1poA pp ons13a pp oprayllaai III).) l+uosaad 1;1 o sopratsl2P.1'PJUV) )A PP r1s1I rI ua tluusapd ri dos anb ouuyr 0 onlf'»LPrallf o0PVJr opp ar.IdvV>, oPl :vcw wprns Ip a)rlolu) situ araoloa Ir `la)100•f9$ ua olsl,+ald ar.11uns a)uanllr.)aur)sgns so) O)O'£9 § ua o)s)naad urnAragpuap) Pp uurpluunt to ua aaquiou la , nb l:unwa), p as lS :3.1NV10A 7F1G V'IiYgIS di1tIWUN d J VQVNnr f1Q1JVIIV 1J7U p)Aoad U.611W JIUDPI aq) uo Pawuu uosaad mpsit autos aqI put; out, tuu I Puu bltta4lpaap uoptupaliai aa)oA mp no uosaad atp to sao)oe, paaa1sI&.i Jo )ssl oq) no uosaad mp wu I wag)u to aimms 1 „`AAup1)JV awuN aulpulg„ tqul atunbs aq) $ulluplul >fq 1(a)Io01•ti9 § cad arlituls fpupuu)squs sl lolo'C9 § .taPnn paplAoad uopu,lilluapl Jo waoJ q) uo autuu aq) )uq) Paulwaalap sl 31 Jl a1IAVd1ddV i1111VN EV'1111lS S,?l3.LOA •uula00l0 III ua zaA oun a)upturloS tllrinA (Q) d 1oP180.1 ou Irnp Ip up s >, , i ppad un up ogsl8pa lw aran9asr raid a)uaturpr)11>,waad rsp;I unlpruuq)ul Ip oil (�) `Irlpupplspa upls»Jil) nu r npwlppupuod uplalawoJw r) splua)on pp a0prJ)s13pJ lu gt pl opunna ululo:ud alsp . p a)u, pl, pa t,J. (EI) `o)ul:+vd a)sa w A tuod AoI and opinuo)nr,(o)s3 opotu wio ap onb o JVJOA opzaJJo jib 1; up olupPid lop .)uaPlsat Ros (V) anb ouulir o Onplp 04 `„oluptutanf oldpov„ oprpartu oaprnp la salulo)ul snu uop nluu9 IV ):l1NV LOA :3U 01NflWV21)lf uoppala aqI ul apno 61uo Ply)oA wu (a) puu'aPlsaa )ou op I gaitlm ul )pn)paad u ul uul)ua)sIBaa aanaps o) uonrwaoJul aslcJ mad dla)rapgllap )ou P)P (:)) `aua)s1:4aa aa1nA alp 0) ppp)Aoad )srl sue+ sspapPV aauaPisaa Slat uo um r.wauju) alp alup aq) )u a)oA o) %ul.ugo wu I yp1qu ul )pulaaad aq) Jo ivaplspa u sum (g)')pulpaad )uql u1 a)oA o) mot dq puaaslAuaglo utu to a)oA o) RupaJJo wtt I gallant ul lau)paad agIjo )uaplsaa it wu (V)1 Idyl ntappaualrants I „')sl7 uo )ON aa)uA aoJ )IAuPYJV>, Paloqu) a.nwbs ay) gu11u1)lul Sig a.LSI'l NO.LON H3.LOA HOd LlAVUl3,,IV . If a vtiter IS lltwble ail st1,>it biQlier nanny, an electlaat offlaal shall place the Voter's ounce on the signature roctcr:utd wake a notation as to she reastm the Voter k 1u1:11)le to 0911. S1 algiul v„ ttnite no puede firmar su nonlbrc, ❑n 0lieio] cleeLlr,il a lunY»li cl no: nbre del Volaule ell e) registry de iirmus y barb una ❑nntaci6u iutlicondo'I:) rmtsu pal' III cuul el vol:mle no pndo filmic Sit�ttttture (Fil�•,�,ta) - r"lnvptt WP :,)Iltl,l!� 1,t,/ Jr,IN,S.LI)Illn,�l J„ rpunt nlryJuep»It npruq np,,vav,aal► ,lsrl uwv,� ,111vPN1' J.l)U1J11.)))1L•lll,{\� JIOr\Jtl,)IIi,S (a)ur.)Ix1 FT spp nNq) sluppil s,aa)01% (orrq' p1sn alluI,]) ,teolItl Autholily vwulwl pg Oonion /4tr�4i47dV3 Sworn nl and subscrihed bcfmo me this >✓ t'► -- °� --- --- Clay of . i R j - !— -- 20 L•arly Voting t'lcrk _,d.�y,���,_--_ ^^nt'tAW�=y aryr't° - J y1al:? Stuu41 ,Q1nJ ` 61 UZ slip atu alctlay pagtlasc(us p(ttt of uwatS GNV_11V3G17!d uolwa(a flul{aupuoa ,C{uot[trtV Sign Below (Firms usted ahajo) 1 1 z 4! �w 6 7: 9 Voter'.. Initials (itticiales del Voc ante) Siufllur A'au➢c ,111idaJt Pur\liter .litidatiN NutunLi,t• Ite[tat�cidrt Jm•ada Dcdurattlin Jut•adu cts �"nderc tiimiln• del \ilta➢tfe d4't \i1f,Allfv• No rII III IJ O . .-- - I s_ ..➢ A xr.Uul; oPnd au alauiO•c 1.1 [una 1:[( rod t:•.;nra o( (rPurarput unG3utcutr, r:an umq { smug oP o.ltslia.t [a u.� auir,{un 1,1) olquuut [3 rueluntla [luorala leia[1a ttti `a1<gtiunc nslr,.uul{ ipand tau alurto,t tniiju tS is 11s o) apinull s1.la)o,% aq) uosum'1111 01 so ttrir)Itlou it jklul pun A.11s 1.1.1,111)ntlills atl) ae AtIMI s,.la)o.% apt )3(;[([111:gs ptlay}o uoga ➢1a rill •arueu dalli ttl nCt(s o f alqutln sl .w)o.t u JI ,rpn.) ualt.aal 1 sr:ca.l, tilra'Z91 Dan fZf'L4'tf11'�N'Zoit't8'ZfU't9'ttu'ti9 ' 11110't9 `611YO '900'0 't'tlW0 'f0uY9 'ZOO'S 't l lltt'0 100*V) swgtvati ��� 81➢1i/10 IIZ-: ntao,l :� sorry fa ,i1r.{.aEaay .Cq pagraavaad *AFFIDAVIT FOR VOTER NOT ON LiST: By initialing the square labeled "Affidavit for Voter Not on List," 1 swear or affirm that t (A) ant a resident of the precinct in which I am offering to vote or am otherwiseetk� by law to vote in that precinct, (B) was a resident of the precinct in which I am offering to vole it file time the information on any residence address was last provided to the voter registrar, (C) did not deliberately pH false information to secure registration [u a precinct in which i do not reside, and (D) am voting only once in the election. *JURAMENTO DE VOTANTE: Al rinnar con ulis iniciales el cuadro malvado "Acepto Juramcntd', yo declaro o alintio que (A) soy residente del precitno eu el que orrezco votar o que de otro modo estoy autorizado por ley ptuu en este precinto, (B) ent residente de este precinto cuando le di a[ regisirador de votantes la inrormnci6ii perteneciendo it nti direcci6ri residencial, (C) no di inforniaciti i salsa premcditadamente Pam asegurar mi registro en un pre en el coal no resido, y (D) vottat solamente una vcz eft [a eleceidn. *VOTER'S SIMILAR NAME AFFIDAVIT: If it Is determined that the name on the form of Identification provided under § 63.0Wt is suhst:ultt:dly similar per § 63.001(c), by Initialing the square lot "Similar Name Affidavit," I swear or affirm I am the person on the list of registered voters or the person on the voter registration certificate, and I ant one and the saute as the person named on the Identification provi 'DECL.ARACON JURADA DE NOMBRE SIMILAR ma. VOTANTE: Si se delennina que cl nombre en el fomtulario do ideutifteacida prrcvisto en § 63,0101 es substancialineute similar previsto en §63.001(c), al colocar this initial el cuadro marcado "Aceptar Dcclaraei6n Jumda", juro a arinno que soy la pcnsona en la lists de votantes registrados o la persona en cl certificado de registro de vatautcs, y yo soy ono y cl ntisnlo como la persona nombmda en la identific proporeionada. For use in Primary Election -A person commits a criminal offense if the person knowingly votes in a primary election or participates III a convention ofauother party during the same voting year. Pura Uso en lit Eleccidn Primaria - Una persona est:i culpable de una otema. criminal si tal persona vota con conocintiento ca una elecci6n primaria O participu con conacitidento en una convencion de otro panido politico dum el misnto:uio de volaci6n. r c o a ai to{uo+vll lvl, ":t� ,�clvV z --pa, v . .1-1% c � � rz•� .y 4 r - G a (liopoala op odi L) timpa13 3o adA, (apuadsal.ut� is rearcyv (algratl(klV J� `laat[JI I[I:}0A SIAUH -10J .1a.1S011 & 110A SPU3 PUB, WHOA &?OLLYNIMOD c� 14 ca.L r) '� Z 1 zl d v ca i-N 1.4 1 -?,?vH3IIrk rd',3 01CLtbi-,It11 �v17i6���t1 I o t C L9 Z IC11 tit_` L lb x°11( 5cC Ubv ll owup.u.l np •mnN •ON[;3ulaa,id Alltn at `r1 a V/"!' x I tVV +Ks t ulrvrtr_tc7'Sv3i (uotill a ap 11I11a j) 1101 ;ial3 ,lta ;13pu (outs) UOIJUafl j i i i ucnaianCl `a.tqutu(s; r,,Cttlaul (0l.minuu(i1 also OP 0S1AAiIt to ua anlntuo.) 'sauntlus ap alual'ast: naed tirt.utaaaau (to', Nalruo!i91' Smug 1s) SalttuloA ap 111101SISV # ati ssa.Ippd'awe,\j apnlaul (111.10J sal) Jo llauq at[) Ito alluguo3 •.i.trssa au a.tu tinge ltat)slssr. aa)oa luaol)lppts Jl) )uls)slss�+.w)o,� j(SOILIP10A ap Plat-1) )Sir] ilod GMA Voter Assistanl (If additional toter assistant Blues arc necessary, continue on the back of this form) include Name, Address Ane # Asistente de Votantes (si lineas adicionalcs sun necesarias para usish:nle Ile townies, conliniw en el reverso do este fornndario) hlcluya h ombre, Db-CC 011 Lpcntion (Sitio) Date of ["leftioll (Feeha rye elecci6n) Etht0-1—Ar 6 C1 T Ll AALJ. + 5/w J ZCy7.. a �otlnty .Precinct No. VUID Poll List (Lista tie Volumes) Num. tic Pmcincfo ei rrent- 'k-r 0,0 IM,5630 b W11 ' i Type of Election (Tipo de election) 6Tt-I i-felfrMt 3- S'PCO-j4t (�-ODEarly COMBINATION FORM and ! o :t Slale r, l :rla 5_20 nl;:nl, � T 5caliuns ALt.11U}, 6?.f!fll 1, 63.III12, 63.f11)1, 63.IIII4, 63.0116, li1,U119, 63,III (It, '(7 Roster (� Early L' arly otiIlg Roster or !;i`l rly Voting b,AM. t14-03',MAP.12.BS.031,K7,121and 162.nUJ'I'misElection (ndc (C'heck ifApplicable) Murearsi Cbmsponde)' If a voter is unable to sign h).aht:r naanu: ;rlri f1mion official shall place the Voter's nalne o0 the signature roster and nlalte a nntatiM) as 10 the reason file voter is unal)IC to tign. r Si alglnl Yotantc no pul:dc tirnlar su nomble. un o'iinial electoral 11I)untrn:i el nolnbre dcl vu;antc en el I R ngisfro do Pnnnls y hard inn annluc9i?n ivs�i;anidu hirausu pnr a ctlal cl) ut,n)ic no patio iilmar. a z .a S , v y •y 7 O O G' , Signature (Firma) 6 Z 9: 1 1 d'� ugJ1r)oA op nun OUISnu 11 �u>vnp olppod oplurd a)o op uQlluanuol run ua olualulnonol un1 W1.)IJ)rd o 1.*f.n:ul.0 npl�:)Jh SUIT lla oJUa!tlI!-.)0U01 110.) L'IOA L' o,,tod Irl Is Irtnulua Lsuaio run ap o Ld na r)s, ruowd ru - ]n vLujj a noia ; l ua os l 7 19 I !� d 4. Ll i fl re d a0af Supon anus ay) sulanp n)aud aagloar. jo uopuamiul r, ul sa)vd)aj).nrd io uol)aala Sauwlad U ul salon Rldui.tt0u11 uosaad aq) jI asuajjo Jrulwltl v s)lwwol u0saad fir- u0plal l {ai:ml,ld III as" JOI �4-epLuoj.)]ndojd P.ayl)uapl LI ua upwtJwou Lumad III owoa otusnu 11 A oun Aas od A sonngo,t op mislaaa: P oproymao is ua ruosrad Ll o SopIUIS!' 1a S11twim ap L'iSil Cl Ila mould PI Ao,, onb oaugr o tunf'„rpral f upllvnrlaa(l arldalV, O )1:1.tuw o.1 Ln1 1 Llonn sun arao 01 ii ' 1 e ua olSln ud n, ntns amaw rnur)s rev �, s ua nlsptald nP1oi;�I qua I a) opr nnuo a ua v wau a anb Lunwa 7 r 1 P I I, 1 1 Ol00'£9s 1. 1 q MIQ'£)s 1, P. I 1 j1' R I )•P•IS Plefud atilluagpi apl ay) no patusu u»saad aql su atum, all) Put, auo IOU I pair'alraypaal uol)ralsl�al aa)OA eq) no nosaad aql ao saalot paia)sldaa jo isll atp no uusaad ail) ulv I aialljv ao auaus 1 „`I1'kUPgJV awrN ariltulS» qsl aarnbs aq) aulittllNt f8 (1)1011'£9 §lad au)lmis ,{Jp,puu)sgns sl IDDD'C9 ti aapun papinoad uO1I171ypuaPl jo tu.alj ay) no atusu aq) )uq) patgwaa)ap Sl 11 jl : LiAVUI:I_iV 3111'N 8V'11111. S,Ni1.LOAx •upllaa)a C1 ua zaA run alaautP,Jns A"',)()A ((i) A'opls,•u ou prnl to it.) tin.ua tu)slRoi Iw jttn8a so wed a1lWUlUI)L)Ipllllajd m1e) Un71C1tL1njU1 1p oil I J)')7,11U1])1SA] 11�11»alp 1111 1r Op111l1atI1Ja1d IInIDCCIIIUjIII rl So gn:10A rep JoPIU1sl9aa It, ip al opum.) owILMd a1s1 ap 1nlaplsal rta (H)'olulavd o)sa it.) wvd Sol and opnzlaoln Aoisa opow olio ap anb 0 at])os n111g)o onh 11 ua oluhaad Jop amaplsal Am (V) sib nlwyp, o oltllaap o,f „olualuwnf oldalV„ oplrlurut 01puna la so1r.Illul snu uo1 artwy iV:UNIV10A 30 01N3WVHf1f* •uoplala aqI ul aaao 91110 Jupot air (U) puu'aplSaa IOU up I gllgnt ul )aulaaad it ul u9pra)s12;u aanaas of uullutu.lojul aSprj old Slalsaagllap IOU PIP (0) aua)sl8aa ,talon aq) o) Papinutd Isul situ %s..upplr aanaplmi ,flit Ito lio )vwaojtq aql itull aql lit aloe of 11ulaajjo tut,1 t)alys ul )lulaaad aq) jo )uaplsaa it srnt (g)'I1nll ud )0ql ul alon 0) ,url All 4uaaslntaayl0 ws ao a)ot o) Sulaapo tau l yllgnt ul 11u11aad aq) jo laapJsat L Our (N.) l ivy) nl.tljjr. OJUaAtS 1,)`Isl'I u0 )oN aalOA10J IIAUPW,, paiaqul aarnbs aq) Nullvlllul Ag jLS1'1 NU I ON 21;I.L0A NO I LIAV[II LiVx I �)I aluelutlap avlpn)gmymn,�op (0frg1' IN-)ISil 1111.11j) AiOIJfI 1)a tS - uptunrLp)ar..lu�+a)) vpeln)•nppu�e)>at) ' Ja14t A»flnNri)y randiming election slel)lul Sworn In and subscribed befi,re nle Ibis *AFFIDAVIT FOR VOTER NOT ON LIST. By initialing the square labeled "Affidavit for Voter Not on List," I swear or affirm that i (A) ant a resident of the precinct in which I am offering to vote or am otherwise entl thgtq,A Xti(i.j by taw to vote in that precinct, (0) was a resident of the precinct in which I am oifering to vote at the time the information an my residence address was last provided to the voter registrar, (C) (lid not deliberately prov r� false [nformatlon to secure registration in a precinct in which I do not reside, and (D) am voting only once in the election, --i - -- =0 'JURAMENTO DE VOTANTE: At finnar con mis inieia[es el cuadro marcado "Ace to Juramcnto", o deelaro o aftrnto que A say residente del recinto cn e[ que ofrezco voter o que de otro modo esto autorizado or k: ara v< br Jo .Cr.{t ------ - P Y t ( ) ; Y P q q Y P Y P Ctr+ en estc preeinto, (8) crl residente de estc preeinto cuaddo Ic di it registrador de votantes lit informacion pertenecicndo a mi dirceciltn residencial, (C) no di infinittacitin fidsa preniedintdaniente par/ asegurar mi registra ell on preci sup (it oxajact puc of oco aS en cl coal no resido, y (D) volaly salamente unit vez ell Itt eleccidn. *VOTER'S SIMILAR NAME AFFIDAVIT; if it Is determined that the name on the form of identification provided nuclei- § 63.0i01 is substantially similar per § 63.001(c), by initialing the square label Voters "Similar Nanic Affidavit," I swear oraffirm I am the. person on file list of registered voters or the person on the voter registration certificate, and I inn one and the same as the person named on the Identification provld( Initials «UF.CLARACION JURADA DE NOb113RE SiMILAR DEL VOTANTE: Si se detennina que el nombre en el fornmkuto de tc[entificacieitt pmvisto en i 63.0101 es subst:utcialmente similar previsto en §63.001(c), al colocar ruts inicia[e. (lniciales let Volatile) el cuadro mareado "Amptar Dee[antei in Jurada", juro a afirmo que soy [a persona en la lista de votantes registmdos o la persona on el ctrtiticado de registro de votantes, y yo soy ono y et mismo como la persona nombrada en [a i ildrieac uo{tNN a.IupaaI tuoz St(aot ttt proporcionada. I I V Slndtur Ymnc Anidmit fur l'ut¢r utrdxi,tr \tit tin IJsN For use fit Primary Election - A crson commits a criminal offense if the erson knowin i votes in at t ima election nr t ertici lhtes in a convention of another tart Burin the same voting car. j iteelavuct�hr Jnndu niYlnruehln du, ado }' „ P , P g Y P ' t3' ' t ' l • party g g year. tll B`(o�F' rtlic' listen' 115i, de Y,mwm Smmn• del tinanle Part also ell la Eleceidn Pdnna{a - Una persona est:1 culpable de unit olensa criminal si ial persona volt can conocimiento en una eleccidit pritnaria o participa colt Conocimiento en unit convenei6ii de otro partida politico dur=4ki�J drt tSrfaam* ao ell u,t"• el mismo mio de vurtcidn. � SlifVOW L69 2 3CV qt-e -ell us u��c (17 to �''� M G I k V V /% b09 of 1 44od Q(l�ut.ttj}:A.ln.)l:'1� owr[oaritlaaluN W!S risE 7};st•I ij1A ;:►uaaa•u(�tJ At(tlo� a a a. w "' - V Nb� V3�i1t i �:f' �� t••i t:, � ��� .Yj t ICJ ILA 1i�34%31' u:ue {N tia atualun [Np a.tgatou to p.trtaur. n,p oislC0 �[� Jp ?J.a!J opnd ou aturlo,i {a Luria ttr iod ntu, MM rtrtl X su1a[p dop3, fi) Ilj 031g )oJpa (014IS) Il@I;i::7tt taurlaa[a {rut{n tta •a.ajauriu rs trtuty apand ou atuuloA unSp: 15 � ,�. �' - - - - - i ttYts of .)IgUoll st A.l[o.% lttl tiosk.-m at{t of SQt u0jintou a niltna pull rajsmi YAnjuu'4is aqj uo autltu S,.LatoA a 1; Dartd Ifnrts IrtallJo uotjalla air `autrtl .altpstq ults of agtnun st .tajoA P. JI (apllndtiNAO� Iti JI7N10[AI (alga ll[ddt/JL }[Jatl�l alto,) au[iaatpi,et�a.[. t1111'Z9F Pun fzl'L8'lili'S8 `£lll{'Iti'Zfll't9't[tl'k4 nitWaatt(j •a.tgluuNs{ r..C» INal ' �III1OA �S�.ii,J .loJ--19ISO-ISO�trr.JoA �S1.1VH ' lof a't9 'm ov) ')t1a'f9 't1[tl'ti9 'fotPY9 `Zoov) '1111(ro "ltlo'f�P Switlaas 9 7 �7\� 7 [ j�T ('j (fir{ (ot.tnpult.tnJ also ap oS.taaa.t [a ua 19ulltl03 ""Mmaloa tip allniNna! rntcl Stt[.utsaNau uus s,lruntNtptt Sttaull ts) sattn:ioi ap alltalslsV # oul' SWUM nz } ot.ua.[;t apq} ju .t.tata.ta,,v {,[ paglta�ti,i 1)itU jib Cl0J, 1K011t Y 1� Ia 1 03 sSJ.1ppV `autuN atinlaul (umoJ tiitll Jo ilJndt qj uo antltluoa `kiuss xnil adr Satitl jurlsi5Sr .1a1nA boot►[PPr.11) iltrlslsSV aayo'k 11�� 1 Voter Assistant (if additional voter assistant lines are necessary, continue on the back of this form) Include Name, Address ,Ilse # Asisleme de Yolanies (si lineas adicionales sun necesluias pare asisfeab, de vol-miles, ctaniii6e en el revel:so de esle formulario) Incluya Nombre, Dircedhii location (Sitio) `>t Yt_L ,ounty Precinct No. Num, de Precincio E I —10 a g3 g� 3? FORM COMBINATION I+ORM and)'resrrfbedb)ScrtetarcuiSiule'/PormS-20 7t1/:Ulll Suellen 63,001, 63,0011, 63.002, 61003, 63.00), 63.006. 63.019, 63.0101, Early Voting Rosner for Early Voting 63.011.6-7.i132,tit.il0?,U5.031,87.121und162.A041e\nslAvoiou(b1c (C'heek 11' plicable) Murcursi Cnmsponde) If Al Toter is Unable 11) sign hislher nallu, an election official shall place the voter's ualllt• 00 the signature roster and make a notation as, tat the rrtson thel'11tC1' is OnJlnhll' ta/ !.)I SI. Date of Election (F'eclla de election) Type of Election (Tipo de election) 1 l.i;, c► i li,2a4 L A SPtC)a,j't__ "g t_.-___ VUIU Poll List (Llsta 1,IL �Tntantes) y • .1 -1...�oc ! nni-w-Orifln fiel Votante) � S' •'1 ° •—• ® � I „'�, I n 4f- no-le r- Ate eaJn - t 'uprnno.l ap hpr. nul5nu la } , \ , , „ L!n oat od o 1 1rd a o , ul iauanuo. Lun L 1 : , r. a rt a o1a , . , : , ) , u I ) t o u, Herat uoa uoa 1 dL i � d a1.tt ad u ,run u. 1 u, ! wan o , : vul maumr is i:u , + ) ) J J t U a Un. I hA ILULI. 1.5 , , , P . H 1. P .. .. • 1 l 1 � . I u,,lo run , p , lgLdpla l:)sa l:uoslad }run - rurluull rnrd •3113A RnpnA awns oq) Rulanp R)aad .iaq)huu j0 uai)uaAuoa 1t ul sa)udlal)aud au uopaala davmild t! ul son R13rlmoun uosaad aq)Jl asua))o )rulwlaa r. g1tuma uosaad +- uopaa13 A-iuwlad ul rill ana 'IT. Imoptiodcud rdtflluopi vi ua vprtgtuou vuowd Ill oiam Hutson la 6 min ,Cos o!t A'sannauA ap ons)3a-t ap ol» %,gpaay to ua ruomad ul o soprats!9v s.,%m n .1p r.Jsll J:l ua mosrod III fos anb ouugr o o. T %r..pwn j unlararp,at) mjdxiV„ opralrw tupl:na la almalul Sim araolha ir'(a)100'£9a va o)slntud lrinuls atuaugvimmisgns sa lol()•£') a na o)s) 'A rploralipuapl ap ourpnwo3 to ua alymau la anb ruµma)ap as lS :7 LNV1 0A']d(1 ?JVIllNIS I!]E111ON dU Vt)V?iflt N01.)Vu�+'1:71Uy pinoad uol)uaypuapl aq) no patunu uosaad aql sr awns gill pull auo um I Put: `a)narlp.aaa nol)u.1)slliaa .1a)nA all) uo uosaad all) 10 s,1a)oA Pa1a)slRaa jo )sll mp no utmad aq) un., I niupju ao auaus l ,`)lnaP4JV'awuN 1lapulg., qal amnibs all) RuiirNlul Al `(a)100'£9 § 1ad aullulls ,SlItIpu«)sgns sl 1010'£9 4 ,lapun papinoJd uopvayNuapl Jo imiq aq) no awvu aql )uq) paulwla)ap s! )131 -11AYUI�dY �11VN HV'.JV al 5.I 1,LOA. 'uplaaala 1!I uo zaA J:tnl alualurins f 1r)nn (U) 6'opisaa ou pin-) la un :)wd un ua crosIffm all Jemflosr, vied a)uatuvprtlpatualt) mlvj 11%)ruuglul !p ou (J)'p:lauaplsaa unlaaaalp nu t: opualaaua)aad uq!amiugjut rl shlurlon Op J0prJ)8l8al it !p of opurm mulaald a )sa ap atuaplsat r.1a (ti)'mulaald ils i ua } wed Aai and opvztao)nv ,So)sa opout a)o aP anb o Jrlon oamallo anb la ua min»Jd lap a)uapls v Ros (V) anb ouutllt o olvlaap oA', muaturan f old.-ay., opvaartu napuna is sap:lalul situ uoa aruutl )V t�.LN1V.l.OA ;Ill O.LN ]NVl]nf4 •nollaala all) ul aauo .Sluo Rul)0A wu (U) Puu `,)Plsaa )on op I g3igAi. ul )aulaald v III unpumsi2aa aanaas o) uopuln.l(linl isliq oat) Rlalvaagllap you PIP (,7)'1aa)sISM aaloA aq) o) papinoatl )sal sum seatppit aanaplsa.l Aill 111) Uoplau.10j"! all) ,,lup all) IL a)nA n) `+)ulaajja lute I (lalllm Ill )aulaald aq) jo )Uapism U sum (II) `)au!a.'ud )uq) ul a)oA o) earl Rq I)ua asleuay)u wit Jo o)m o) Rul1a,)Jo lull I galqu ill )aulaaad aip jo )uapp a.l v w1r (V) i )1!q) wlgpe.toluams 1 µ')sl'i no )')N.1a)n^Jo) *wPB!'V,, PaWgvi milbs all) wulluplul,S11 USYI NO.LON IKROA i101,LIAl'g1:I;lY. 11w10q'3KPk1 Si aI&I Yhltrlle nu puede firnlar su Hombre, un afic ill) elcclurtll a %WlMi c) nutnbre (!c! \laanlr C;) ci rel,islro de lianas y har,i una allowei6l) i»dicundo ht cause por la ctml i:f voum)e no pudo Srroan +aprrly}nap ar.IPnlg vquu��ap rpr.mrnp)arar)aan ttpr lop ru)ar�rWnti J"l rulR\ .l1srPlUy Jalu}J+!•1 11trPlUn' a111C,\JCl�lllly (aDnlJgN lap sapllanq) slul)lu I s,aa)on Signature (.F!rmu) 17 ti (i)3P.t�tt-J7.�')SI! .rttra:.jl ,�tivt„p °�i[ Authority cnntlaeting rlcction Gl,y 0r- fV Va fR r.&IJ O 5tvom to Inul subscribed befilm me ibis ---- "-'�.—� --- dlt>� of M 1��-- - -- ---• '�-_�a.�.�3 Early Voting Clerk N