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VILLAGE INDEPENDENT NOMINATING PETITION I, the undersigned, do hereby state that I am a registered voter of the Village of Rye Brook,

that my present place of residence is truly stated opposite my signature, and I do hereby nominate the following named person as a candidate for election to public office to be voted for at the election to be held on the 18th day of March, !1", and that I select the name RYE BROOK TOGETHER as the name of the independent body making the nomination and Two Hands Clasped Over Ou l!ne o" #e V!lla$e%s Boundar& as the emblem of such body# Na'e o" Cand!da e *usan R+ Eps e!n I do hereby appoint/ Na'e Richard 0utner Marcia Rogull 3my 4choen Pu(l!) O""!)e $rustee Ter' %ne &1' (ear Res!den)e )) *ountry Ridge +rive, Rye Brook, ,( 1!-.)

Res!den)e 1 Mohegan 1ane, Rye Brook, ,( 1!-.) 2- $alcott Road, Rye Brook, ,( 1!-.) .) *ountry Ridge +rive, Rye Brook, ,( 1!-.)

as a committee to fill vacancies in accordance with the provisions of the election law# IN ,ITNE** ,HEREO-, I have signed this petition on the day and year stated before my signature# Da e *!$na ure Pr!n ed Na'e Res!den)e

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R&e Broo34 NY .1567 R&e Broo34 NY .1567 R&e Broo34 NY .1567 R&e Broo34 NY .1567 R&e Broo34 NY .1567 R&e Broo34 NY .1567 R&e Broo34 NY .1567 R&e Broo34 NY .1567 R&e Broo34 NY .1567 R&e Broo34 NY .1567

I4 4 state that I am a duly 5ualified voter and now reside at R&e Broo34 NY .1567 in the Village of Rye Brook in the 4tate of ,ew (ork in the *ounty of 6estchester# 7ach of the voters whose signatures, subscribed his or her name in my presence# names are subscribed to this petition sheet, containing I understand that this statement will be accepted for all purposes as the e5uivalent of an affidavit and, if it contains a material

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