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    Petition - Walls For Governor

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    wallsforgov
    This document is a primary petition form for William "Dock" Walls III to be a Democratic candidate for Governor of Illinois in the February 2nd, 2010 primary election. It includes spaces for Walls' name, address, and the office sought. Below is a section for voters' signatures, addresses, cities, counties, and states. At the bottom is a section for the circulator of the petition to sign and have their signature notarized, certifying the collection of signatures.

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    Petition - Walls For Governor

    Uploaded by

    wallsforgov
    111 views1 page
    This document is a primary petition form for William "Dock" Walls III to be a Democratic candidate for Governor of Illinois in the February 2nd, 2010 primary election. It includes spaces for Walls' name, address, and the office sought. Below is a section for voters' signatures, addresses, cities, counties, and states. At the bottom is a section for the circulator of the petition to sign and have their signature notarized, certifying the collection of signatures.

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    This document is a primary petition form for William "Dock" Walls III to be a Democratic candidate for Governor of Illinois in the February 2nd, 2010 primary election. It includes spaces for Walls' name, address, and the office sought. Below is a section for voters' signatures, addresses, cities, counties, and states. At the bottom is a section for the circulator of the petition to sign and have their signature notarized, certifying the collection of signatures.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    111 views1 page

    Petition - Walls For Governor

    Uploaded by

    wallsforgov
    This document is a primary petition form for William "Dock" Walls III to be a Democratic candidate for Governor of Illinois in the February 2nd, 2010 primary election. It includes spaces for Walls' name, address, and the office sought. Below is a section for voters' signatures, addresses, cities, counties, and states. At the bottom is a section for the circulator of the petition to sign and have their signature notarized, certifying the collection of signatures.

    Copyright:

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    of 1

    x . . . . . . . . . . . B IND HE R E . . . . . . . . . . .

    GENERAL
    PRIMARY PETITION
    We, the undersigned, members of and affiliated with the DE M OC R A T I C Party and qualified primary electors of the DE M OC R A T I C
    Party, in the State of I llinois, do hereby petition that the following named person shall be a candidate of the DE M OC R AT I C Party for the
    nomination for the office hereinafter specified, to be voted for at the primary election to be held on the Second (2nd) day of F ebr uar y, 2010.

    NAME OF F IC E ADDR E S S

    WILLIAM "DOCK" WALLS, III GOVERNOR 1709 NORTH MOODY AVENUE


    OF THE C HICAGO, ILLINOIS 60639
    STATE OF ILLINOIS

    NAME STREET ADDRESS CITY, TOWN COUNTY STATE


    (voterÕs signature) OR RR NUMBER OR VILLAGE

    1 ILLINOIS

    2 ILLINOIS

    3 ILLINOIS

    4 ILLINOIS

    5 ILLINOIS

    6 ILLINOIS

    7 ILLINOIS

    8 ILLINOIS

    9 ILLINOIS

    10 ILLINOIS

    11 ILLINOIS

    12 ILLINOIS

    13 ILLINOIS

    14 ILLINOIS

    15 ILLINOIS

    16 ILLINOIS

    17 ILLINOIS

    18 ILLINOIS

    19 ILLINOIS

    20 ILLINOIS

    STATE OF ILLINOIS, ss.


    COUNT Y OF _________________ }
    I, __________________________________________ , do hereby certify that I reside at ____________________________________________________,
    (Print CirculatorÕs Name)
    in the City/Village/Unincorporated Area (circle one) of _
    ________________________________ , County of__________ , State of Illinois, that Iam
    (if unincorporated, list municipality that provides postal service)
    18 years of age or older, that I am a citizen of the United States, and that the signatures on this sheet were signed in my presence, not more than
    90 days preceding the last day for the filing of the petitions and are genuine and that to the best of my knowledge and belief the persons so
    signing were at the time of signing the petition registered qualified voters of the DEMOCRATIC Party, in the political division in which the
    candidate is seeking nomination/elective office, and that their respective residences are correctly stated as above set forth.

    ( CirculatorÕs Signature
    )

    Signed and sworn to (or affirmed) ______________________________________


    by before me, on_________________________________ , 2009.
    (Name of Circulator)

    NOTARY PUBLIC

    (SEAL) SHEET NO. ______________ PROGRESS PRINTING

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