HomeMy WebLinkAboutAbsentee Ballots 1974
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APPUCATION FOR ABSENT VOTER'S BALLOT
For the election to be held on _~ /'j~ 7. , 19_,
1, -A..:Ld (! ("':Jnt~ ~1 ;;Plicant) as a qualified voter of
rackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Date . 4f S If J '7/{
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Precinct No {;
/2
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Signature of Appli ant
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Party
(to be used for Primary only) .
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Address
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City and State
V.IG
For Use of Clerk Only
Application Received . . 5/1(/7 i
Ballot Number ~ Jj 9 '1.1/
Mail Ballot To:
Date Ballot Delivered
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Date Ballot Received
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APPUCATION FOR ABSENT VOTER'S BALLOT
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For the election to be held on
I,
--no
,1921.
as a qualified voter of
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Date
Precinct No r
(tot:f~sed for Primary only)
Party
ti
~~y
For Use of Clerk Only
Application Received~ i
Ballot Number 11 ;;'c?Ctr
Date Ballot Delivered 5'/1)7 1-
, ,
Date Ballot Received
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Signature of Applicant
/lSlf r2J/~1 ~ Rtf
Address
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City and State
Mail Ballot To:
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, tAPPUCATION FOR ABSENT v6fIi~'IS\Afi~dH~ pL.
"/1/,;,........ 'X/wi t?,'r"./ '"
For the election to be held on !lm:1 ;ij1lM~:'llJ 7 , 192L,
I, ~;;i~t tme<;;{ ajii;;n';(Sh 4 ~ ~ as a qualified voter of
Jacks.on County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
, ,
Date II /~C 2. {, /1 ~ t.J
1/ '
, Precinct No J "3
Party ~ .
(to be sed for Primary only)
t 'S.
of Applicant
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ApPlication Received
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Date Ballot DeliverJlt f/;2f !;y
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City and State
Mail Ballot To: :) r e..be-/ac--<J
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In.is /JJ a 11 ~ ~, ;23.7- 03
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For Use of Clerk Only
Ballot Number
Date Ballot Received
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RECEIVEO. FILED
'74 APR29 ~1I:23
H!l~f.V CH!f,"M~
I1JAosr.~DIl COUNTY CLERv
. .:U,TEO BY ..^
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
I,
7~a~
7'4l
,194
as a qualified voter of
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Date
Precinct No
Party
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For Use of Clerk Only
Application Received
Ballot Number '11-.
Date Ballot DJ11vered
Date Ballot Received
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Signat re of Applicant
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Address
C2a.I/A
City and State
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Mail Ballot To:
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APPUCATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
May 7
, 19 fJ 74,
Trilma A. Barron
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
1,
as a qualified voter of
for the reason that I will be physically unable to attend the election.
Date April 23,1974
Precinct No 13
ZL/~ t? d_~A~_ / _ tlf
Signature of Applicant .J f-I
Party
(to be used for Primary only)
~ 01.-'11.
2375 Greenmeadows Way, Ashland, Ore.
Address
City and State
For Use of Clerk Only
Application Received ,~.jI7Y
Ballot Number tjqq 7
Date Ballot Delivered 0:1 /7r(
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. Mail Ballot To:
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Date Ballot Received
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FILL OW .01'N It DO Of' CA..
POST CARD APPLICATION FOR AB8ENTEE BALLoT
Stat..r Comm.nw.alth.l ....O.r.eRC!!1................................
(Pill i...:..1amc of St.1e or Commonwealth)
(I) I hereb)l-l'~<!t an absentee baU.lln v.t. in the co,""" .Ieaion:
r(GENERAL) ) ~- .... ~.. < L} EUCTlON.
\....~._... ( trike out inapplica6Je 'Words) .
(2) .U. ballot is requested foe . primary eJeCtion,
print )'our political. party affiliation or prde-rence
in this box:
(If prim..., clKtion i.lKret in your St.." do not Int"',r)
(3) I am a citizen of the Unit" St.tes, eli,ibJe to vote in above State,
and am:
!...., .4 J( ijU I. A........, 01 'he Armed Po,... 01 the Un;led rrv---,
- J1;tt.., Stltts LA.-J
. b. A membcrof the merchant mltin. ollht United
Stitt. .
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(4)
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c. A c:itizea of tbe United States temporarily mJcI.
ina oubidt of the territorial limit. of the 'Unikd
St.ta .nd. the District of Columbia
d. ^ Spouse or dependent of . peROn lilted in CI).
or (b) abo.e
A IJ'!OUIC or cltpcnd~t te?dini ",jth ot '<<om. I I
p.nYlnl' penon described In (c) .bove 3
I WlS born .n ......S...........:r.u.N.r;;..........l9.1.........
(Da,.) (Month) (Year) .
For .3. years PrecedinB the abov. .Ieai.n my,hom..c. (nqt mili. t.
tary) residence ill th.abOv. Stat. has been ."3.!{.l...i.MQ.~.~ .
...II.s.kf.ct.o:ld.J..D~...............................................
(Street .nd number or rural route. etc.)
in Ih. county or parish .'m.::r.tlCkson.........m..........
The voting precinct or electi.on district for this residence i.
I
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....................,....,........ii~te~.ii.k~;.;;;.........--....................
(6) a.mark,s: ....m......m...._.........................m............m...
----.-------.---.---.---------------------------------------------
(7) Mail my ball.lm the l.U.willB oIIidaladdress:
Forlh......i~inth.U.~j ~I
./fj.:i:../.?;iJ:ft;I.g.t:1..l(a..t...t::.._.Or.d....M...9.~9..'/.L. .
(Un~ (Co.. Sq., Tip., Bn,,'~Gove!.hfJ~~~~~ orjlffi~)
.C/!;l.H~.-U.~A~s.f.t:7.t.I::1:.~~(!f1.:...~~l
(Milit.ry B.st. StuiDQ, Camp, Port, Ship. Air1icld. etc.)
For those a..ill1led .Isewhere:
...--.--h........h.....i~PO.~~;FPO.~~)---.........--....--....h--.U
(8) I am NOT .requesting a ballot from any other State and ~m not
voting in any other. manner in this election. except by absentee
(9) ~~.~~.~~.:~:~~.~....~.~~:~..:~..:~::
,L ... (S;~~~ of ~~ _'1!'.";n. "'1101)
(10) .~.~.tf$JH!(lr:a.4...v.vn~..~~.a.:'t'B~.o.V.tJ.t;..
(Pull name. t)'ped or prin~. with ranle or a:rade. .nd S('rvice number)
~SCribed and sw.m 10 beE.r. m. on ..1.~A1!.i?:~~..?.'{.....
.m.~...~m...............~AI~~~~.[:.jJ~~;~..
(Si,n.tu~ or ofIici.1 .dministerinl (Typed or printed n.me or offici.1 ,
o.th) \ adminilwrin~.th)
11.1, ~!l:::r.r:.?.~f./....~>.~~7!!:.m&:..~f..!;-."-:..'""'f
(Tide or r.nle. service number, .nd or,anization or administerlna: offici.I,)
.
INITItUCTIONI
A. Before ./jllin, out this (o~m stc JOur VOlin, officer in res.ref to the votin. I... 01
your St.te and .bsentee fC,iltration and votina proadure.
B. Tfpc or print .11 entriel eXcept lienature.. PIU OUT BOn{ SIPES O'
CARD.
C. Address c.rd to proper St.te offici.1. Your YOtina oBicer or COft'IIII.ncU.
officer will rumisli JOU hi. title .nd adcfrtll.
D. Nail Clrd .s soon 's JOUr State will accept JOUr .pplic.tion. ~
E. NO postaae it requi~ rOt the cud.
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PILL euy .OTH IIHI OF CA.
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POST CARD APPLICATION FOR AB8ENTEE BALLoT
Stal. or Comm.nwealth ~f .....~,pI1...................h............
('ill ift.J.... of Staw or Comlllonw~'hh)
(J) I requ n absfntee ballot to vote in the coming election:
(GENERAL) PRIMARY)' (SPECIAL) EUcnON.
trike out inlPplic.ble words.
(2) .If. ballot is requested for a primary election.
print your political party affiliation or preference
In thU box: .
(If primary election is secret in your Staw. do not 'llJwer)
(J) . am a citizen of the United States. eli,ible to vote in above State.
and am~
~ .. A member of the Armrd Form or the United
.....:/ . States
~-f'" - -. b. ta:mber Qf the _reh,nt m.rine or lhe United
c. A citizen or the' Vnlted SbtutempOr.ril, mid.
Jq outside or the territorl.1 limits of the United
States .nd the Di.trictof Columbia
.... J f d.. A .pouse or dependent of . person lilted in (a).
.,.. '1 or (b) .hove
:'n=-: ~rs:~:~~~,,~d~ ~~ or lCCOm. I I
(4) I was bom.n ..P!..L.........../Yl(!U...........I.fjq.'I:........
(0.,.) (M6~th) (Ve.r)
(') F.r '~;f.:: r.::'~~:~~:h~.~~:fll.t'f-J21i1~~"
.71.S.t...Q.~I~q1f-~~;,;~;.~;.ji.;;,;;~:~:j...........,....,~.
in Ih. county .r parish ..L..:T.Qfc....~.I:1....nh...n.nm.....
The VQting precinct or election district for this residence is
C,x'
......--.........-..............(E;.k~.ii.k';O.;;;).......--..................-...
(6) aomarks: .......nm........n.n.,.mnmn.......nm...nnnnm....
--------------..---------------------------------------------------
(7) Mail my ballot In th.loU.willBoIIidaladdress:
F.r thos~ ~.djn th. U,S'il / rl . J I'll n 3'
-.J.q.~. ...-.~fi.M.!1..h.K~...,Cll..Qr.J.!..I.D:._.:L.."t.~
/I(Uni'ACo.. Sq.. T'~,~" "U1 ""..~.,..~.~ AF"'lr o,~)
.J...O..I:f-..-1i511/3;!,..51ct.,..Et:J.Jf:ciJ.l'A.n~J.fYI
(Milit.rJ' Base, Station. Camp. Port, Ship. Airfield. etc.)
For those assigned elsewhere:
...--h~----.,..........--D\PO:~iFPO-~~.i...--h-.....h....----.........
(8) I am NOT requesting a ballot from any other State .and am not
voting. in any other mlnner in this election, except by .bsent~
process. and have: __~~ voted and. do RO!JD~nd to vote in' this
(9) ~;.~~~:~~~~~~~d~:~L2:.O:,.:.n~D~:./L~/:t.L '
.--c-;' -'-i", ~Si.~..u..,61 r""~ ",u'J'i~. bIll..) . . .. .
(10) f.Jl.v-.I.L'.:'h..J.:,,,-,.l..n.d..lUIL_..m.:,..L/b.,:1.Li/7J
fPul1 name. typed or prjn~. with rank or-,~~e'And serv;ce number)
(11) S bscribed and orn I. . . .nt?!,lnflf}/hJ1..7JI.
. . . . 'n " t&<<llJli."'h'.:")if/ii7E....
Si,n.ture or offici.1 . ministering, (Typed or printed n.mt or offici.1
t:J<j ,oJ9\> 'dm;nl'!n;'II.'ll.h~M
~......3...,:.7o.:QY.8..6~.tl.SIINU5.T.t'ftt1:.v.( \l7:PJr~
(Title or r.nle. stnoice number, .nd or,anization or administerina: 0 ciaU ,
INITIIUCTIOIII
A. Before.fillin. out this rorm ICe' )'Our votibJ officer in rt,ard 10 lhe wtin,l.wl of
)'OUr Stalt .nd .blen. resiltralion .nd yotina Proccdurt.
8. Type or print IU entric. except lianllurtl. FILL OUT BOTH SlOES OF
CAAD. .
C. Addl'ttS card 10 proper Statt oftici.1. Your ..xi.... officer or comm.ndi,.
officer _ill furailfi )'OU hil title .nd .ddl'tll.
D. )Cail card .. lOOn .. JOUr Statt _ill l<<'tpt' JOUr application.
I. NO poltlp is reqaired for the card. r
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held On
MAY ro',
"," .,
"",f}
, 197!j
I.
be'!/) '('0.-
(Prin t
Cf'W-1'\, &ct-e_~
name of applicant)
as a qualified vote~ of
Jackson
County, State of Oregon, hereby apply for
an absent voter's ballot for the reason that I will be physically unable to
attend the election because '1. qo ..b:l x: !MDt ~ \)bt-it~
(Applicant mUSt relate why he will be physically
unable to attend the election.)
Date
0-7-7'-1
fi?er
0AOrr~ ~'~Q~~
Signature of Ii nt
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Address \
A<;,~~ ()~,
City and State '
(("/:' t~~-)
'1?GJ-O
Precinct Number ~
For Use of Clerk Only
Mail Ballot To:
Application Received OJ '}-L/
Ballot Nwnber -${"..;l.:::?
Date Ballot Delivered S '1 '7~
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Date Ballot Received
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CITY HALL
503-482-3211
FINANCE DEPARTMEN.T
~_~"~relt, City ReCOrder
OFFICIAL BUSINESS
arity Df As41attb
ASHLAND, OREGON
97520
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
rfu 11/13-
3
19 75'
'-,
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as a qualified voter of
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Date
Precinct No
Signature of Applicant
Party
,.
(to be used for Primary only)
Address
City and State
For Use of Clerk Only
Mail Ballot To;
Application Received
Ballot Number
Date Ballot Delivered
Date Ballot Received
--- _.._._._.__._---.__._.__.__._---.__.~-~--~
APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
I,
,19_,
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
as a qualified voter of
for the reason that I will be physically unable to attend the election.
Date
Precinct No
Signature of Applicant
Party
(to be used for Primary only)
Address
City and State
For Use of Clerk Only
Mail Ballot To:
Application Received
Ballot Number
Date Ballot Delivered
Date Ballot Received
-- - ..-- - -----.------
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ABSENTEE BALLOT RECORD
P"a:CIHCT NO.J~__
(:
OAT. ........
NAME OF APPLICANT .. DATt: .ALLOT .ALLOT
HOME ADDRESS # "',.,.. RIC:D. MAILED ADDRESS MAILED TO RITUJlNIO D1#POemON
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APPLICATION FOR ABSENT VOTER'S BALLOT
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For the election to be held on
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Precinct NUmber
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For Use of Clerk Only
Application Received
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Ballot Number
Date BallotDelivered
Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
MeW 2lS 1914
,19_,
1, C hG.., \ es \-\ "\ no m Ps'lJ'l as a qualified voter of
(Print name of applicant
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Date
Precinct No I
Party ~
(to be sed for Primary only)
(}1/~~ #, ~
Signature of Applicant
---
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Address
fl fA) - cr:~
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City and State -
For Use of Clerk Only
Application Received ~hf
Ballot Number D'19
Mail Ballot To:
7J ell-
Date Ballot Delivered
Date Ballot Received
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APPUCATION FOR ABSENT VOTER'S BALLOT
flH4W 28 1974
For the election to be held on
,19_,
I, C \ ,0. r \1 ~ -Je.a n k."I ~o no p'30n as a qualified voter of
Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Date
Precinct No
/
.
4/?--- K. U~~
SIgnature of Applicant
Party
~~.
(to be sed for Primary only)
. 5J7~:k4 Jr.
Address
()J.
City and State
For Use of Clerk Only
Application Received ~/7Y
Ballot Number 6j~
Mail Ballot To:
71(1-!
Date Ballot Delivered
Date Ballot Received
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ATllman, Jordan
7.6 ~!arch 1974
r:ounty Clerk
,facles"n County Oref,on
Cour t House
~1erl.ford, OreGon
Please place O'Jr names on the list of those for absentee ballots. l1e
will he in Jordan until about November 1975.
Ne ,<ere carried C'n the precinct rolls that voted at Lincoln Schoo1in
Ashland.
fiu[;ene P. Winters Leona C. Winters
1120 I~ Lane
Ashland ---
Please send the absentee ballot and voters pamphlets first class mail
otherwise it ,oilI take 3 or more months to arrive.
.~ll~~ene p.
.\ll"AN
De [Jartment
Washington
and Leona C. Winters
of State
D.C. 20521
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APPUCATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
rl^V ." ~ 1"'''."
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,19~,
I , JAM 1:: :s ~. f'fl ~ N- R C ~ as a qualified voter of
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
.
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Date
Precinct No
Party ~Q te,OJ !W~~..!AI\
(to 'be used for Primary only)
~q(o ,~~~ ~ t-
Address
~
CLlQtn-<<& cOM C(,S~a
City and State
For Use of Clerk Only
Mail Ballot To:
Application Received 5-;'2/ /7J.j
JL 5C/1 .eL '71'11-
7C - - ~"J.}
Date Ballot Delivered ~h, /7'{ ') J Jo -] 1
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Ballot Number
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APPLICATION FOR ABSENT VOTER'S BALLOT
MAY 281974
For the election to be held on
, 19_""....
I, 5us/lJ1) _\, H ~tJ as a qualified voter of
(Print name of applicant)
Tackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically ur~able to attend the election.
Da te -:J';;13 - 7'/
Precinct No 0 /
ou~ '
Party D ~ /Y}
(to be used for Primary only)
/d-D -t:. ~,~
Addres s
~~/. CJ4L-
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City and State
For Use of Clerk Only
Mail Ballot To:
t/ (Y-;J-
Application Received ,'7- - ;).. :3 - 71
Ballot Number
,?f7
.5-~ d- '3 7 4-
Date Ballot Delivered
Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
r' C': <:I. '1 'i~74-' HI_,
1. JeO-nne_ /..... 4ct:>tC asaqualifiedvoterot
(Print name of applicant)
Tackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Date 7n~ ;'3, /97<{
I
Precinct No
~ ..
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(to be used for Primary only)
~.
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Party
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Address
4/'~"b.
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City and State
For Use of Clerk Only
~ p~ /71./
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Mail Ballot To:
Application Received
!\i c ,)\\1
tV- 'f-
Ballot Number
Date Ballot Delivered
Date Ballot Received
v
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NAME OF APPLICANT
HOME ADDRESS
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ABSENTEE BALLOT RECORD
DATe
p~ DATI .ALLOT
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ADORES. MAILED TO
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PltRelNCT NO.~~_~
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1';'HCh 29, 1971,~
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[Lu aIel l3erninghauGen
3~1~ Jo. 45th Av~nue
"il'n"lpoli3, ~Jinn.' 55406
:'r'.3. :'j,ldcnc Te1ry
':J "c t 1 ('n Dept.
JKck30n County Court House
",elford, Oregon 97501
j',.jl-~3. i1f~II'Yt
I would LiPPI eciatc: it if you would send me the
l\bGc:ntee ballot for the r']ay 7 ..nd f.'ay 28 elections..
I Hm I ";ista1 ,~d ..s a Democrat in ,Ashlands 2nd
pr,cinct. '.i.'his would be mJ' f11 st privilege to
vat" and I um looking f01'w..rd to doing so.
l'hank You, ,~\\,
" ",,), 6'':'''''0
(;'/1(>'/J-(;1 (:;?1fl1,.~i^C'"~r-
iJa10ld Ber i1:Di'~hausen
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If you need to, know my Ashland
IJa10ld 3e1 ninghausen
Jti<; Vista 51'.
Ashland, Oregon 97520
BUT I 1\ 1'1 CUHRElf1'LY LIVIIJG III 11IlJNEAPOLIS.
RECElVED.FllEO
'74 APR-l ~\l:33
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365 Pearl street
Ashland,' Oregon
May 6, 1974
Mr. Harry Chipman
County Cl,,,rk
Medford, Oregon 97501
Dear Sir:
Due to my physical condition and advan-
cing age, I will be unable to go to my voting
precinct to vote in the May 29th Primary.
Therefore, I wish to request an Absentee
Ballot be sent to me at my home:
Minnie I. Kimmell
365 Pearl Street
Ashland, Oregon
97520
~'.
:rl;2.
Thank you,
!3aJ -LI '-/ I r
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235 Terrace st.
Ashland, Ore. 97520
May 16, 1974
Elections Dept.
Jackson County Courthouse
Medford, Ore. 97501
Gentlemenl
I will be out of town on election day. Please send me an
absentee ballot.
Kenneth H. Jones @R (Lincoln School Gym)
235 Terrace st.
Ashland, Ore. 97520
Thank you.
Ittr
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Kay 16, 1974
Elections Dept.
Jackson County Courthouse
Medford, Oregon 97501
Gentlemen:
I will be out of town on election day. Please send \lie an
Ilbsentee ballot.
Laura B. Jones 2-R (Lincoln School Gym)
235 Terrace st..
Ashland, Or. 97520
Thank you.
B!\LLoT +' '7170
jV1fll L r:: D S-//).3/7 'f-
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Laura B. Jones
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APPLICATION FOR ABSENT VOTER'S BALLOT
MAY 281974
For the election to be held on
,19_,
I,
as a qualified voter of
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically u
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Precinct No
J-
'I ft
/ {:,d
ignattlre of Applicant
to attend the election.
Date
Party
cRt;:
(to be u d for Primary only)
v
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Address .
t2~
City and State
For Use of Clerk Only
Mail Ballot To:
Ballot Number
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Date Ballot Delivered
Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
MAY 281974
,19_,
!,
as a qualified voter of
(Print name of applicant)
Jackson County, State of Oregon. hereby apply for an absent voter's ballot
for the reason that! will be phYSically unable to attend the election.
Date
Precinct No
1----
c$~LffJbAft'
Signature Applicant
'30 l./ rA J€f- Acf
. Address
Party
(to be u ed for Primary only)
~
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City and State
For Use of Clerk Only
Application Received ")Ja-;"/1l/
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Ballot Number
4ft... 1f1qIPb ,?,).~_1'1-
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Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
/;jo'~', 28 1974
For the election to be held on
,l9~,
1. :'o.r~\)e.\t" S. Cn.VY'I~nt".lI as a qualified voter of
Print name of pplicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically: unable to attend the election.
Date mo.\{ ~~l \~14-
Party
~
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(to be used for Primary only)
Precinct No
For Use of Clerk Only
Application Received
.n...........j..,J
,
Ballot Number .{;J-to
Date Ballot Delivered )f C H
P7f 01;;<
ct~/Ld;,/ j (7/1cay.zN/~_
ig ure of Applicant
360 I?UJA I~
Address
M
r20AI/1/rltY) ~
City and State
Mail Ballot To:
#=-"!qf.,f) bl~3\14-
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Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
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,19_,
For the election to be held on
JUDY 11. ])t1VIt>S~1()
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
I,
as a qualified voter of
for the reason that I will be physically unable to attend the election.
.$" / .:<.:3 /7 tf
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Precinct No ~
B-
Date
Party
(to be used for Primary only)
~
For Use of Clerk Only
Application Received ~h 3/7 'I
Ballot Number # 3" J-7
Date Ballot Delivered ~/'L-?/7i
Date Ballot Received
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Mail Ballot To:
z:
PRECINCT NO.~
ABSENTEE BALLOT RECORD
OAT. DAft
NAME OF APPLICANT ... DATil .ALLOT .ALLOT
HOME ADDRESS . A~. "lieD. MAILIID ADDRESS MAILED TO fIIUUIltNID DlaPOtllftON
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
May 28
, 191L-,
I, Alice E. Rachford as a qualified voter of
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
- .
Date April 29. 1974
Precinct No
3_
~
v- OR~~~<t-
/Sig'nature of Applica t
otE;
~U
Party Republican
(to be used for Primary only)
109 - 4th flt
Address
Ashland, Oregon 97520
City and State
For Use of Clerk Only
Mail Ballot '1'0:
Application Received
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Ballot Number ..J q'8- \
Date Ballot Delivered S-l ~
(.( I- 6' /<'C> .
Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
May 28
1974
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Do yoo.", '. .,. . J/lflfS A. PHIUAfJ
lli!ti:.rtte. PlU[jhe May Pr~mary or the May Special District Election?
Please sign your name, do not print.
'H nPR -3 PM 3:11 Brenda Jarvis Deputy ~erk
fi,',I}:I,", ii"ili 771 sr-:
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APPLIC~ON FOR ABSENT
VOTER I S BALLOT
For the election to be held on
iMAY28 1974
19
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(Print name of applicant)
as a qualified voter of
Jackson
County, State of Oregon, hereby apply for
an absent voter's ballot for the reason that I will be physically unable to
attend the election because
(Applicant must relate why he will be physically
unable to attend the election.)
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Signature of Applicant
Date
Precinct Number
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Address
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City and State
tve e 9 dJ ".I
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For Use of Clerk Only
Mail I\allot To:
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APPLICATION FOR ABSENT VOTER'S BALLOT
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Application Received
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Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
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19
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(Print name of applicant)
as a qualified voter of
Jackson
County, State of Oregon, hereby apply for
p
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an absent voter's ballot for the reason that I will be physically unable to
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attend the election because- ' ,.-4 (P.-t-{ L ..--<1' w, .:.... ....""-' v'.{J(;<v"""S,J
(Applicant must ,relate why e, 11 be physically
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Date 'JYt'J' 7 ,
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Precinct Number 7'
For Use of Clerk Only
f!:' v",-
Application Received
Ballot Number :1.. 7 r
Date Ballot Delivere~ r;)/(',} 7 V
Date Ballot Received
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For the election to be held on
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an absent voter's ba] r, ~ 7
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reby apply for
cally unable to
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Application Receivec
Ballot Number
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Date Ballot Delivered'
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Date Ballot Received
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Election Dept.
Jackson County Court. House
Medford, Or. 97501
Gentlemen:
1I~ 20, 1974
Please send us two absentee ballots for the May 28 election,
and oblige.
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Naomi Ridley
117 Helman 5j;,
Asn.Land, OR 97520
(Ashland Precinct #4)
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on CfJJ~J c2 f , 19.z:z::.
I, ~J i t6 c, I' I C!. R I Pc Q(. Y\l as a qualified voter of
(Print name 0 applicant)
rackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Date
Precinct No t.f
partyYe.~u b \ ,'C(1 V'\
(to be u$ed for Primary only)
~!!cr1'1-~~. ~f'~
Signature of Applican
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Address
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City and State
For Use of Clerk Only
Ballot Number
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Date Ballot Delivered
Date Ballot Received
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May 17, 1974
Jackson County Election Department
Court House
~Iedford, Oregon 97501
Dear Sirl
My husband is currently enrolled at Orego~ State University ,and we are
living in Corvallis, Oregon. I have established my permenant,residence
in Jackson County and wish to apply for an absentee ballot for the May
28, 1974 primary election.
Precinct Number
Party
Mary J. Varin
814 Glendower St.
Ashland, Oregon 97520
@
Republican
Name
Jackson County Address
I am applying for this ballot because I will be unable to be in Jackson
County during election time. Please send the ballot tOI
Mary J. Varin
122 N.E. Conifer, # 4
Corvallis, Oregon 97330
Thank you.
/~~ 7~q7?~d.v~ ~~
Mrs. Mary J. Varin
\b 1-\ \ , D-t
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. llECHVEO. FilED
'74 HAY 20 ~ 10: 33
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Nay 17, 1974
Jackson County Election Department
Court ,House
Medford, Oregon 97501
Dear Sirs
r am currently enrolled at Oregon State University and living in Corvallis,
Oregon. I have established my permenant residence in Jackson County and
wish to apply for an absentee ballot for the May 28, 1974 primary election.
Precinct Number
Party
Dennis L. Varin
814 Glendower St.
AsHland, Oregon 97520
~
Republican
--
Name
Jackson County Address
I am applying for this ballot because I will be unable to be in Jackson
County during election time. Please send the ballot tOI
Dennis L. Varin
122 N.E. Conifer, # 4
Corvallis, Oregon 97330
~a k you. /J
'fv~
De nis L. Varin
~~
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APPUCATION FOR ABSENT VOTER'S BALLOT
MAY 2 8 HN
For the election to be held on
,19_,
I,
as a qualified voter of
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Date
Precinct No
j
t,clAA...a. \>. \\::;" J'VvU' J.i)
Signature of Applicant
ot
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Party
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(to b'l used for Primary only)
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Address
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City and State
For Use of Clerk Only
Application Received 1,Y7f
Ballot Number -:;67
Mail Ballot To:
'1) (II
Date Ballot Delivered
Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
MAY 28 19"4
19
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(Print name of applicant)
as a qualified voter of
Jackson
County, State of Oregon, hereby apply for
an absent voter's ballot for the reason that I will be physically unable to
attend the election because
(Applicant must relate why he will be physically
unable to attend the election.)
~f~o;-~
Signature of Applicant
/JL/9 a,ilaJ ~ Vfl
Address
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City and State
Date
rf;tUjr
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Precinct Number
For Use of Clerk Only
Application Received ~-tV7 y
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Date Ballot Delivered "1/ C 1-1
Mail Ballot To:
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Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
MAl /. L ;~ '-I.
For the election to be held on 19
I, as a qualified voter of
(Print name of applicant)
Jackson
County, State of Oregon, hereby apply for
an absent voter's ballot for the reason that I will be physically unable to
attend the election because
(Applicant mu~t relate why he will be physically
unable to attend the election.)
Date
~
Precinct Number
.5
For Use of Clerk Only
Application Received S /7, } ry 'I
Ballot Number ~-m
Date Ballot Delivered s,/?:> If r
Date Ballot Received
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City and State
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
JAY 28 1974
,19_
I.
17/:
A .-1 /of ~J.J //
(Prin t name
/ ~//.,//
of applicant)
as a qualified voter of
Jackson
County, State of Oregon, hereby apply for
an absent voter's ballot for the reason that I will be physically unable to
attend the election because /) U F C'r' -r" ~ A/
(Applicant must relate why he will be physically
unable to attend the election.)
Date If A Y ~ t? .
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Address
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City and State '
Precinct Number ~
For Use of Clerk Only
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Application Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
tiM 28 1974
19
I,
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(Print name of applicant)
as a qualified voter of
Jackson
County, State of Oregon, hereby apply for
an absent voter's ballot for the reason that I will be physically unable to
attend the election because "1/ 7" C;:- ~"PA/
(Applicant must relate why he will be physically
unable to attend the election.)
Date /1/ /f Y .z t:'
7'/
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Sigrtature of Applicant
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Address
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City and State ,. ,7
Precinct Number
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For Use of Clerk Only
Mail Ballot To:
Ballot Nwnber
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J!~ ~~
Date Ballot Delivered.
Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
Dear Sirsl
I will be unable to vote at my usual polling place in the
upcoming election. I woul~ therefore, appreciate it if you
would send mean absentee ballot at the below address. Thank-you.
Yours truly,
~;. /1 / .-;// - /' " . o. K~
~h~:i~f\f. ~'1~~1J n "\
Send ballot tOI
Charles H. Wiley
1000 Patterson #419
Eugene, Oregon 97401
J1, ,,,"',,' ;7/' a
For the election to be held on
Jackson County Elections Dept.
Court House
Medford, Oregon 97501
For Use of Clerk Only
Application Received
Ballot Number
\e~"
if 7 Cf ~!) (fIbl I +
,;;/ ~ "01
Date Ballot Delivered'
Date Ballot Received
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MAY 28 W4
. 19
May 16,1974
Home addressl
200 Skycrest Dr.
Ashland, Oregon
Precinct #5
City and State
Mail Ballot To:
.
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ABSENTEE BALLOT RECORD
PRECINCT NO..k-
DATE DAn
NAME OF APPLICANT PR OATE BALLOT ."'Ll.OT
HOME ADDRESS # APP. REeD. "'AIL.ED ADDRESS MAILED"TO IItITUA:HID DI_PQeITlON
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
AfAY 2 8 197~
19
I.
Alfreda T Cone
(Print name of applicant)
as a qualified voter of
Jackson
County, State of Oregon, hereby apply for
an absent voter's ballot for the reason that I will be physically unable to
attend the election because
Unable to see
(Applicant must relate why he will be physically
unable to attend the election.)
5/14/74
f
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Signat,ure of Applicant
290 S Mountain Ave
Address
/ '{'--'
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Date
Re-publican
Ashland, Oregon 97520
Ci ty and State
Precinct Number 6
For Use of Clerk Only
Mail Ballot To:
Application Received
~~p ~hn'T~
Ballot Number
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Date Ballot Delivered'
Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
'~,"" '10 ~{-A
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
MAY ? i' 1" 19
'-'
I, /JtlifU~fCl 9, j<(f'11f asaqualifiedvoteroI
(pf'1nt name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's baBot
for the reason that I will be physically unable to attend the election.
Date Hav .;}:3 /9
I
Precinct No
6
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alAi luJn g, J(ut.i-
Signature of App((icant
Party ,TJt' n-l
(to be used for Primary only)
33v tRn'dit' ~..;
Address
IJdJ } ern d f) r f'
City and State
For Use of Clerk Only
Mail Ballot To:
Application Received
5"}~
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Ballot Number
Date Ballot Deiivered
S)~/'l3
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Date Ballot Received
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ABSENTEE BALLOT RECORD
PRECINCT NO.~
DATIE DATE
NAME OF APPLICANT P. OATE BAL.LOT BALLOT
HOME ADDRESS # APP. REeD. MAIL.EO ADDRESS MAILED TO ItETUltNEO otSPOtImoN
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APPLICATION FOR ABSENT"VOTER'S BALLOT
For the election to be held on
I, ~kn )1tJclrl^ch
( (Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
MAY 28 1974
,19_,
as a qualified voter of
for the reason that I wi\l be physically unable to attend the election.
Date ~'7 ri-(2:: 7 ?-J
Pffiomo, NO~ c.. ' ~~A'~ fn1
~ ~ S' ature of Applicant
Party ~
(to be used for Primary only) o/.G-t'-f ~ i"
o 0 ----?J '..#'7~-{ ~-1
Address
s
~~()/tt ? ?J;tiJ
City and State
For Use of Clerk Only Mail Ballot To:
Application Receivedti-:t7
1 q5U
Ballot Number r O/) -r \.,1?~D,>\-1t
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Date Ballot Delivered o;J;; 1711
,
Date Ballot Received
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PRECINCT NO..-l....sL-
ABSENTEE BALLOT RECORD
DATIE DAT~
NA.ME OF APPLICANT .. OAT!: _ALLOT _ALl.OT
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APPUCATION FOR ABSENT VOTER'S BALLOT
M ^Y ? R 1o,'7~ 19
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as a qualified voter of
for the reason that I will be physically unable to attend the election.
Da te, S-. 2?::>-1 4-
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(to be used for Primary only)
~k-wr
Precinct No
;;:y
Signature of Ap t
Mi( tAl~~t. ~cWr J
Address
.~~~~ (S)L-
City and State I
Party
For Use of Clerk Only
Application Received 3-j;.3/7 i
,
Ballot Number r y~o
Date Ballot Delivered S-h3/lf
Mail Ballot To:
A/05/1
Date Ballot Received
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ABSENTEE BALLOT RECORD
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PftllECIHCT No._
DATI: """'
NAME 0,. APPUCANT ". DATIIt .ALLOT ...."'LOT
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
)71o.~",< ,f
J
as a qualified voter of
,19ll,
I, -1Y 0 Y Yn n~ /3. j::'re rnd
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Date (Lt'LJ' / &. /97 i.(
Precinct No / 3
..-
Party (~,--,6~6-~.-e(7'-
(to I e used for Primary only)
'?jo-vm-<c /3~5/U?~
Signature of Applicant
ot(
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Address
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fLd~lC2y~tf
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((O-1-<1~
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City and State
For Use of Clerk Only
Ballot Number
799 1
Mail Ballot To:
7] M-P~ ,(-3 .::I4i! 1-ncf'
/0 ):'Uv {/ ~tJ J /3~ <-t;}
'-;I ::< r )Q~-;tt.<L6Zc,t-^->>
Application Received
Date Ballot Delivere~ C~<<
Date Ballot Received
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/ f/ ,;< c) '7
RECEiVED. FILED
'741lPR17 ~/I:02
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APPUCATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
May 28.
,l9~,
I,
Melvin E. Barron
(Print name of applicant)
Jackson County. State of Oregon, hereby apply for an absent voter's ballot
as a qualified voter of
for the reason that I will be phy.sically unable t
Precinct No 13
'P
Date J./ - ;1. ~- 7~
Party
(to be used for Primary only)
2375 Greenmeadows Way
Address
Ashland, Oregon 97520
City and State
For Use of Clerk Only
Application Received
Mail Ballot To:
4dAM.L cu, a/tTlV-(
.
Ballot Number
..J9Q'J
Date Ballot Delivered
Date Ballot Received
,...yy~ S-\<'o-l~
RECEIVED. FIlED
'H nPR 2l+ P,~ 2: 07
H,\q;y ~': ,<:,:N .
J'\Ck;,0i~ (')i.',lt CLE<(
Doct.'e Ii:;) .',
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Dear Sir,
May 9, 1974
Would you please send me an absentee ballot for the May 28th
primary election? I am re~istered in Jackson County at this
address I
805 Pine crest Terrace
Ashland
My temporary address is I Lise Hoffman--
*537
1000 Patterson
E~ene, OR 97401
please send the ballot to this a ress.
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,ank you, r J
C1~ tiff)
Lise Wright Hoffman
REVD 'i';.,II. F 11,t: il
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
J,!"y 2B
,19~,
I,
Joe L. McCallilon
(Print name of applicant)
Jacks.on County, State of Oregon, hereby apply for an absent voter's ballot
as a qualified voter of
for the reason that I will be physically u,nable to attend the election.
Date ~~y lJ. 197L
Precinct No 11
c{ .P-'b"
11'\$1}
Party
Rp.pllbltcan
(to be used for Primary only)
726 Walker
Address
AGhland, Oregon
City and State
For Use of Clerk Only
Mail Ballot To:
Application Received . ~7>t:)/7f<'
Ballot Number 0d "-/ q 7 'If?!
Date Ballot DeliveredM.d./LA (~
Date Ballot Received ,- - /, -1'(
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'APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
},fay 28
, 1974 ,
I,
. Lorena J. McCannon
(Print name of applicant)
Jacks.on County, State of Oregon, hereby apply for an absent voter's ballot
as a qualified voter of
for the reason that I will be physically unable to attend the election.
Date IIa.y 10, 1971..
~
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,0( ;t.y
1-
Precinct No 13
k
Signature 0
Party
ReDUblican
(to be used for Primary only)
981 Hiawatha Place
Address
Ashland. Orel!on
City and State
For Use of Clerk Only
Application Received -6/,'" he<"
, ~
Mail Ballot To:
Ballot Number 601 7 4777'(
Da te Ballot Delivered /If'. /I
Date Ballot Received
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
)dav 28
, 19-1.!L,
:';a:1il"l ;(.. ;lo(;'i;1.1::m
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
as a qualified voter of
I,
for the reason that I will be physically unable to attend the election.
Precinct No 13
" ~L" d..<-t_, i 7) r ~{,t it JLb J 1.'
Signature of Applicant
ofh
Date ;I~y 1'1, 197'1
Party
3.ep'lbli ~!ln
(to be used for Primary only)
726 Walker
Address
AShland, Oregon
City and State
For Use of Clerk Only Mail Ballot To:
Application Received ~~~
"''' - r;;z: 1J~9 7
Ballot Number v:' 0( -5 ?;,."
Date Ballot Deliveredr:x:L~/;{ C'~
Date Ballot Received
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APPLJCATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
JL'w:ln
, 19..1JL,
as a qualified voter of
1,
R01an~ B. McCAnnon
Print name of applicant)
Jacks.on County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
,
Precinct No 13
tJ{H
(? t~/}1-t); fJ . !JJ, CtI)~W~
.
Signature of Applicant
Date IhQr 10, 1Q7l,
Party
Rel?ublican
(to be used for Primary only)
981 Hiawatha Place
Address
ASh1ll.nd, Qr,,€,on
City and State
For Use of Clerk Only Mail Ballot To:
Application Received {;Irp/?V
Ballot Number .6~ 4 't,J7.rV
Date Ballot Delivered f (' /I
Date Ballot Received .~-- /r,'"'.. 71
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POsT CARD APPLICATION FOR ABSENTEE BALLOT
'ILL OUT aOTH IIDU or CAn
Sta.Jor Cobmonw..lth of ........O.i(.~.(].l.~............................
I' (Fill in n~ of State or Commonwealth)
(1$ I hereby request an abSC'ntee ballot to vote in the cominB election:
(.... ) (Pa.M.IV), (s.-.) EUCTJOIl.
. ($trike out inapplicable .'ords)
(2) I .U' II: ballot is requested for. primary election.
I?rint 'yout' po. litical parly .flilialion or preference ~
In this box:
(II primary election i. lenet In JOl.tr Stitt, do not .nswer) ~ .
(5~ 1 1m ~ cititen of 1M United States. eliBible to vote in ~e State.
r.1Id a~:. \
~, 6. ~ mtmber of the Armed Porm of the United I Jt I
Stites . .- .
b. :'a::mbtr of _ the merchant marine (If the United I ~ A'J' I
Iv.lf
.
!~i
c. A citizen of the United Statts temporarll, rcsld.
'.. ing oubick of the territorial limib of the United
~~~" t~':::d.:h:,;~:~:::: ~;':~'Ii.ted ;n (.J.
~. ' or (b) abaTe
"-A ~se or dependent residing with or .<<om. tV;/ I
.... '1 panyitlB a penon described in (c) .bove ,
(~) 1 wis Gorn on ....i;jj...............i~~fl...............-t.tj.....
(1) For :J..'? years precedins the above ele<tion .by-home lnot mili.
tary) residence .n the above State has ....n ....r...J:Uj'.....
.J.1i.t.(r,..-.....-~.".........................................-....-
(Street Ind number or rural route, etc.) ,r,
in the county or parish or..;rIJ.{,J:t.~.!'!.....c.a!t.~'/-.'--.......
The votina precinct or election district for this residence is
Iv'?
(6)
................................iEn;~.i;.k~~i................................
Remarks: ............................................................n.......
----.----------------------------.---------------.----------.-----
(7) Mail my ballot to the following ollicialaddres"
For those assigned in the U.S.: -
...__..d..I{_'__F.iol/c'....II.~.j.2!.!.~!....--.......-............
(Unit (Co.. Sq., TIp,. Bn.. etc.f.'"'Govemmental ^seney. or Oftice)
.......P.RP.HJ:f.(.~A.!!!t..~&.':....Jl:-{~r.1./.?~I(-..--........
(Military Base. Station. Camp, Fort. Ship. ^ir6eld?d~.)
For those assigned elsewhere:
_..Il..efl...1Y..~t'LIi/.{.I.,....~.'f.~R.?................-......--..
(APO. or FPO number)
(8) I am NOT requesting a ballot from any other State and am not
voting in any other manner in this election, except by absentee
process, and have not voted and do not intend to vote in Ihis
'- (9) ~~~.~;;;dS~~~~~~s~~...f~
J-o... (Si,nature of pcno~ jequestinR. ,Uot)
-.t-~ (10) ..SJM.lfll.rw.(JJ/.T......tJIJ./ld.l!!....//..ftt~.frr.rX.i:.fl..,'4
" ..J" (full name, typc:d or rrinttd. with rank or ,rade. and service number) ,
~ I (11) 5 . d and~orn ~ befo~e me on .................................
~ ~ . . ...~... .......\)J~\-./nh~...tf.~.r1{::~.....
,. (SiRna of official administerinR WJIltd or printed nalM of oRielal
..J ' ."h) . /l I ..",mjn;...dr1."hl i'l
.. i, ~ C. .....tXC....f.1.1;.,.....d,.J...~tdL.ttIlJ).,....hl,.J
~ (Title or rank, Mrvice nurn~, and orlanization of administefDl ollicia.)
I ' INSTRUCTIONS
! A. Before.nllln, out this form see your votin, oRicer in rqard to the "f(It11ll1a.. of
I )'Our State and absentee relittration and votln, proceilure.
B. TYI!t or print all entries except si,natures. FILL OUT BOTH SIDES O'
CARD.
C. .Addreu card to proper Sllte offici.1. .Your TOtina oIi~r or C'OIIIIIIandina
, olli<<r will furnisll you his title and address.
D. Mail (lrel .. 100ft at your State will accept your Ipplieltioej
E. NO post.. h required for the elrel.
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"\ea~e send Me bQ.HO+~ fW- -+41.e e\~
o f' ~Q.~ 1 Q.~~ MQ.~ '2..8. :x: ClW\
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
MAY 2 [) FJ7'~
,19_,
I, L/ If" 3 tJ N R. W R A \L as a qualified voter of
(Print name of applicant)
Jackson County, State of Oregon, hereby apply for an absent voter's ballot
for the reason that I will be physically unable to attend the election.
Application Received :2/ 1
Ballot Number -a ,;2. a *' ~ q tf-l ~... ":> /)
(T- \<L
Date Ballot Delivered <7:2 { /7i ('l\O\
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Date -7~/ct'-f1- :J-rf - / '7 , d
Precinct No /..;
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Party )\..A_. -,...?
(to bE! used for Primary only)
(j
For Use of Clerk Only
Date Ballot Received
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Signature of Applicant
f?-,6 '1 get-d4-/ U/ .-.u-/.
Address'
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City and State
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Mail Ballot To:
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
~y 2 81914
.19_
unable
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Jackson
an absent vot
attend the eJ
lly
Date
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For Use of I ~ 12
Application
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APPLICATION FOR ABSENT VOTER'S BALLOT
For the election to be held on
Jt.ty
'> ;'"
T.. }
IYM.
19
I,
c~~~
(Print name of applicant)
as a qualified voter of
Jackson
County, State of Oregon, hereby apply for
an absent voter's ballot for the reason that I will be physically unable to
attend the election because
JrM-~
v unable to attend the election.)
Date
6 h.-1-/7tf
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Signature of Applicant
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Address c
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City and State f
Precinct Number / a
For Use of Clerk Only
Mail Ballot To:
Application Received
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Ballot Number
Date BallotDelivered
Date Ballo~ Received
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PILL OUY .OTM If HI or can ~
pOST CARD APPLICATION FOR ABSENTEE BALLOT
State or Commonwtahh of .....~t:Q.v.].____............................
(P.II ~'.'~ 01 Sllte or Commonweo.llh)
(I) ! f' ll'h rcqu n abSf'nlCC ballot to yote in the comin& rl<<tion:
(GENElAl) PIUMAlV). (SPEOAL) EUC11ON.
like out inlpplictble word.)
(2) .I~ a ballot is rcqutstN. for a primary election.
print your political party affiliation or prcferrnce
In chis box:
(If pfim.1')' election i.lKm in JOUr Stilt', do not .n....cr)
()) I am a citizen Qf the United States, tliSiblc to vote In loon State
and am:' .
tf. .. ^ member or ,Ih. Armt'd. .o,~ of the Unlltd I
~ tpfl. 5'.... ..
1,1..t ~ b. ^ member o( the merchant marine of the United I
~ St.ln
. c. ~ citizen of the Unlled $tatt:, mnporlrily mId. I
I. inS ouuidc of lb. territorl.1 limit. of the United
State. .nd the DlItrict of Columbia
..J! ~ d. :, (tj:e.:~ deptndcnt of a ptrson lismlla (I). l)( I
^ spotlit or dependent ml]in with or .ctOIII. I I
plnyinl . pttson described in abon
(4) I..... born on ..P!.L........... ~J.I............l9.Y...f/:........
(Da,) (M6nth) (Year)'
(H For .3...J:,1tS prcadinS rho .bo.. .lection.Jll1.'-.(1!9! 1J!i1i.-'
talt uSl1~nce In the .bOve St.te has been .::J.~.L.1U.C!/lt.-::~h
.. . .S'~""'~sI~~.;~mbe;';';'jr;';';~:c:k:j"""~"""""'"
in lh. county or p.ri.h of....:r.ac....~!1.......................:.
The votina' pm:inct or election district for fbi, rftidmce i.
...............n...............iii..ti,.i,..'n;;.;;;i.................unn........
(6) R.marl<s: ~...............=...............................................
.I'22<:.==___;3.~'?__----.:.____.~?:.::-:_-'~_::2.1-______
(7) M.i1 my ballOlto th. following oflici.l.dd.....:
Fortho,. ..~ned;n the U,S';1f _I .
..j.<1.';L..!.~!i.ffi.~J:l.KG....,6!..Qr.d..CA.JI.$.9.~
/I(Un;'ACo" Sq.. T~.,!;l" ..c.t Uove!!'F~.1 ^'''''Jr.'~)
..u.?..N..~.!l51J~.5ti4.,..h..Ufr::!.,.!'A..!tSf.YI
(Mlhtary Bue, Station. Camp. Port, Ship, Airfielel. tic.)
For those asaigncd elsewhere:
.......................-.i;..po:;;PPCt~;nib;;i..nn..u...nuuh~h......n
(8) I a~ N.OT requesting. ballot from any other State and .m not
voting In any other manner in this election, except by absentee
process, and have" nQt voted and do not iDtend to me it.- this
~ dection .t .~ypl~,,' )~~,es,. . /. ~ ,) I.; i. ',t-;.
" (9) .<.!j;...~:..:...,.....L.'".,(,.c...,:,.:'.....'-'.L....,c-,:L/...,.y
, '\..--:-' (S!,naIUff,Of ptrson,rtqu~tin. baUot)
'" (10) t.)f'.v..I.//"...:/.....,(...Jd..1J./..!...(.:.......:,.:L/P.,:d..117i
~ ( vII name, typed or printed. With rank or arade'And :Krvy" e number)
~ (\I) 5 b,,,ihed ~n_drr~om to 0 m. onJYJ..fj llfi ..t.1..7.Y..
'~ UCXL. ,/,.... 19.'~ /;)I"lh. ,.,d ye,,'
.. ......., . m<w.fflW..ft../t.'II/.7E....
Sllftature of offiCial a mlnlsle.lnl (T7Ptd or printed name of official
S ')'/3 ..,\1\' 0"0. '.' 'dmini,''''i...,~h~
:::,......... .::.i.Q.:...7.{.!.6",.rl$lh~E.C.s.T.I:ftt:r.JI.( M/bo.~
(Title or rank, servlC(' number, and orlaniution of administerina 0 cialt~1'J
INSTRUCTIONS
A. Bdore.lillinl ~t this form ItC your Volin. olli<<r in rqard to the YOtina la.. of
your State and absentee rt.istration and 'f'otilll pl'O<<durc. "
B. lJ..raD~r print aU entries except silnatufts. FILL OUT BOTH SIDES OP
C. Address ,card t~ proper ~ta~ official. Your YOtlac oI5cer Of aaunandloo
officer Will (urnl,ti JOU hll title an" a4dft..
D. M.il card at lOOn '1 JOIIr State will Icttpi ;.., application
E. NO pottaae iJ required fw the card. . . .
tru.s.IOWIJI\I-.r"""""ClI'FICII" D.IO .' ,...,
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PI" OUT aOTN IIDII Of' ca..
POST CARD APPLICATION FOR ABSENTEE BALLOT
510.. or COmmon.....lth of ....Q.r.e9.Q~................................
(Pill i~.me of State or Commonwealth)
(I) I hereby~"u(St an .bsnuce ballot to vote in the comins election:
('(GENERAL) ) ifl .. fPi" t5I! -} EUcnoN.
___ ( rike out inapplicilile words'
(2) . If a ballot is requested for a primary election.
frint your political party affiliation or preference
In this box: .
(If primary election is Item in your State. do not .nswer)
(~) I am . citizen of the Unit.d Stlt.., .!i,ibl. to .01. in Ibo.. Stlt.,
I",!.om:
...... . .4 iJr( a. ^ member of the ArmecI Porm of the United
.. HI'" . State.
II. ^ member 01 the ntCf(hant marine of the United
Statu
[]CJ
C::.:J
.Jl~
~
.
c. A citizen of the United State. IcmlKJ'rarU, mid.
ina outside of Ihe territorial limit. of the United
States and tl!e District of Columbia
d. A s'p?pse or dependent of . person lisled In (d, f
or (b) aboye \
A JP,OU1e or d~ndtl?t" re!ldin, with or '((011I. I I
plnYlnl' penon described In (c) above .3
I..... bolO on ......S...........:r.v..N(;;..........1.2.t.........
(Da,) (Month) (Year) "
For .:3. yo... precedins th. .hov. .Iection my.horn.$. ("91 mil!;,/,
to'!') residence In the .bo.. St.,e.... been :!>.':t.I...lw!1.0J::..... .
J1 s ~ ""'.r:ld.....DR................................................
... .. ... .. ($trftt and number or rural route, etc.)
in the county or p.ri.h or....::r.ac..kso.n......................
The ~ti.... pm:inct or election district for this residma is
...,......~..............u.....ii~~~-irk;;.;:;;inn.-..........................
(6) R.m~"': ....................................::::................-;y-.......
___L~_'=___:':J__I,/._____._______S.::...;.'J....__-.:.?_';f:__..____
(7) Moil my ballot to thefollowing ofIicial.dd.....:
Por tho~assi8l)e4 intheU.~_1 _
_/~:i:.~.fflg.Y.l..l(.u+..t::Lod....cIL9."-9..'Ii..
(Un~ (Co., Sq..1'~.:....Bn..e~Go~r.:n~al-ta:enfJf or ~C)t
.CQ.ff.....!.I.~/JId:."<s.!.r.r.t.t::t.O~.C{J!...Y-J::t. .l
(Military Base. St.tion, Camp, Port. Ship. Airfield, etc.)
Por those assigned elsewhere:
(4)
l'l
~
I ..-nnnnn._.nn.nni~.;o:o;"tiPO.n;.i.....n._.....h.~..............
'J
i"( (8) I am NOT requesting a ballot from any other St.tl: .nd am nol
voting in &oy other manner in chis election. except by .bsentcc
"-\\ proce$5. and have ~ot voted a d do not inlend to vote in thiS
~ eled~t. ~~.~Y; "r d 5~
(9) ....~~n ;- of ~n n m.~;;~i~..b.ii;)........m..h.m.
:< (10) .S.f&.;J0IP.a.arA...uJli'di..~~'-a.:!(8.:.O''/.~~...
~ (Pull name, typed or printed. wilh rank or ,ude. and Kn'ice number)
J ~scribed .nd swom to hefo,e m. on ,.1.~Af.&~...7..r.......
1J--C-.?..!!....~..................~AI~~~~1.~.~;J~~;~ ..
(Silnatu~ of oRicial administerin, (Typed or prinled name of oRicial
oath r administerin~ath l
I~r, '3:!l::Jr:.1..~...,....~>.~~....E.t,..~I;R,..~..'-...11"f
(Tille or rank. lCn'ke number, and or,uizalion of administttlna oRicial)
'NSTRUCT'ONS
A. Before .Allinl aut this form lltt your votin. oRiftr in rt.nd 10 the 'IOtinllaWl of
rour Staw and absentee rqistralion and votina pf'OC'tdure.
-8. T,1!t 01 print all entries papt li.n.ture.. PILL OUT BOTH SIDES O'
CARD.
C. Add,,", larel 10 proper 51ale offici.1. Yoar ~i... 08iRr or c:vmnuncI..
oftiftr wi I fumish IOU his litk and .ddma.
D. Mall canl II 100II ., yoat Stale wilt acupt ,..r application. ~
I. NO _ " ....i.... ,.. the ......
*Ul _ _.....,..CIQ:II_ D 110 _ .~
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