Академический Документы
Профессиональный Документы
Культура Документы
To:
Each singer of this Petition certifies that the following statements are true:
1.)
2.)
3.)
4.)
Name of Candidate:
DONALD E LETTON
City / Town:
Zip Code:
Delanco
08075
(Residential Address)
(City / Town)
Delanco
1
(Zip Code)
08075
(City / Town)
(Zip Code)
COUNTY:
SLOGAN:(*)
BURLINGTON
Democratic-Republican
CAMDEN
Democratic-Republican
GLOUCESTER
Democratic-Republican
SIGNATURE SHEET
1.
_______________________________________
(Signature)
_______________________________________
______________________________________
2.
(City / Town)
_______________________________________
(Signature)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
______________________________________
______________________________________
(City / Town)
_______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
8.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
7.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
6.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
5.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
4.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
3.
______________________________________
(Print Name)
(Zip Code)
______________________________________
(Print Name)
______________________________________
(City / Town)
(Zip Code)
SIGNATURE SHEET
9.
_______________________________________
(Signature)
_______________________________________
______________________________________
10.
(City / Town)
_______________________________________
(Signature)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
______________________________________
______________________________________
(City / Town)
_______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
16.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
15.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
14.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
13.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
12.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
11.
______________________________________
(Print Name)
(Zip Code)
______________________________________
(Print Name)
______________________________________
(City / Town)
(Zip Code)
SIGNATURE SHEET
17.
_______________________________________
(Signature)
_______________________________________
______________________________________
18.
(City / Town)
_______________________________________
(Signature)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
______________________________________
______________________________________
(City / Town)
_______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
24.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
23.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
22.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
21.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
20.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
19.
______________________________________
(Print Name)
(Zip Code)
______________________________________
(Print Name)
______________________________________
(City / Town)
(Zip Code)
SIGNATURE SHEET
25.
_______________________________________
(Signature)
_______________________________________
______________________________________
26.
(City / Town)
_______________________________________
(Signature)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
______________________________________
______________________________________
(City / Town)
_______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
32.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
31.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
30.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
29.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
28.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
27.
______________________________________
(Print Name)
(Zip Code)
______________________________________
(Print Name)
______________________________________
(City / Town)
(Zip Code)
SIGNATURE SHEET
33.
_______________________________________
(Signature)
_______________________________________
______________________________________
34.
(City / Town)
_______________________________________
(Signature)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
______________________________________
______________________________________
(City / Town)
_______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
40.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
39.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
38.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
37.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
36.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
35.
______________________________________
(Print Name)
(Zip Code)
______________________________________
(Print Name)
______________________________________
(City / Town)
(Zip Code)
SIGNATURE SHEET
41.
_______________________________________
(Signature)
_______________________________________
______________________________________
42.
(City / Town)
_______________________________________
(Signature)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
______________________________________
______________________________________
(City / Town)
_______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
48.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
47.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
46.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
45.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
44.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
43.
______________________________________
(Print Name)
(Zip Code)
______________________________________
(Print Name)
______________________________________
(City / Town)
(Zip Code)
SIGNATURE SHEET
49.
_______________________________________
(Signature)
_______________________________________
______________________________________
50.
(City / Town)
_______________________________________
(Signature)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
______________________________________
______________________________________
(City / Town)
_______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
56.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
55.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
54.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
53.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
52.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
51.
______________________________________
(Print Name)
(Zip Code)
______________________________________
(Print Name)
______________________________________
(City / Town)
(Zip Code)
SIGNATURE SHEET
57.
_______________________________________
(Signature)
_______________________________________
______________________________________
58.
(City / Town)
_______________________________________
(Signature)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
______________________________________
______________________________________
(City / Town)
_______________________________________
(Signature)
_______________________________________
(Residential Address Number and Street)
(Zip Code)
(Print Name)
64.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
63.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
62.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
61.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
60.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
59.
______________________________________
(Print Name)
(Zip Code)
______________________________________
(Print Name)
______________________________________
(City / Town)
10
(Zip Code)
SIGNATURE SHEET
65.
_______________________________________
(Signature)
_______________________________________
______________________________________
66.
(City / Town)
_______________________________________
(Signature)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
______________________________________
______________________________________
(City / Town)
_______________________________________
(Signature)
_______________________________________
(Residential Address Number and Street)
(Zip Code)
(Print Name)
72.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
71.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
70.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
69.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
68.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
67.
______________________________________
(Print Name)
(Zip Code)
______________________________________
(Print Name)
______________________________________
(City / Town)
11
(Zip Code)
SIGNATURE SHEET
73.
_______________________________________
(Signature)
_______________________________________
______________________________________
74.
(City / Town)
_______________________________________
(Signature)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
(City / Town)
_______________________________________
______________________________________
______________________________________
(City / Town)
_______________________________________
(Signature)
_______________________________________
(Residential Address Number and Street)
(Zip Code)
(Print Name)
80.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
79.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
78.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
77.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
76.
______________________________________
______________________________________
(Signature)
_______________________________________
(Zip Code)
(Print Name)
75.
______________________________________
(Print Name)
(Zip Code)
______________________________________
(Print Name)
______________________________________
(City / Town)
12
(Zip Code)
: ss.
County of ______________ :
I, ____________________________, being duly sworn, upon my oath say
(Print Name of circulator / witness)
that such petition was made in good faith; was signed by each of the signers in
his/her own handwriting; and that each signer is, to the best of my knowledge
and belief, a legal voter of the State of New Jersey.
Sworn and Subscribed to before me in
___________________________________,
________________________________
________________________________
___________________________________
(Notary signature)
___________________________________
(Date my commission expires)
13
OATH OF ALLEGIANCE
(Candidate need only sign this page once for all Petitions)
: ss.
County of ______________ :
I,
support the Constitution of the United States and the Constitution of the State of
New Jersey; that I will bear true faith and allegiance to the same and to the
Governments established in the United States and in this State, under the
authority of the people. So help me GOD.
Sworn and Subscribed to before me in
___________________________________,
_____________________________________
___________________________________
(Notary signature)
___________________________________
(Date my commission expires)
14
CERTIFICATE OF ACCEPTANCE
TO BE SIGNED BY CANDIDATE
(N.J.S.A. 19:13-8)
_____________________________________
(Signature of U.S. House of Representatives Candidate)
__DONALD E
LETTON__________________
(Printed name of U.S House of Representatives Candidate)
Delanco
(City / Town)
08075
(Zip Code)
15