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Home My WebLink AboutAbsentee Ballot Requests ABSENTEE BALLOT RECORD PRECINCT NO;~ ....... ....... NAME OF APPUCANT ... DATI .ALLOT .ALLOT HOME ADDRESS . """,IU:CO. MAILED ADDRESS MAIL.Eg' TO RaTU"H&D DlSPOemoN A JI. L" 1I1t,f IV / /~~;t 7".1. . . ././- ',; -%k ~~ ~ljtJ l1iHf"o/ r -.. r". /1/15 ~If P. l..tJF/MA.,II/ -X;, .. 1181'{ n II/~ / rl ~ e<, ~.,.tJ 7;- , . . . " 1 . I . I I I , I I . . I I .. t I . I I . I . I . . . . . . . . . , ! j t l .-.... APPLICATION FOR ABSENT VOTER'S BALLOT For the Special Election to be held on October 24, 1972, I, 4. . II. L tJlI 11 I/-;V , as a qualified voter of Print name of applicant) Jackson County, State of Oregon, hereby apply for an absent voter's ba1l6t for the reason that I will be physically unable to attend the election. Date: / 0- ~ t)- '12 Precinct No. ! ~~ ignature 0 Applicant Addr1!tJ >>!~wL---' @..I/a-J {ft& C1 Y and State. (' .-:::- till}. Mail Ballot to: For Use of Clerk Only: Application Received J?J- 'l t) - 7 '2 Ballot Number f ;) t? 7 Date Ballot Delivered / C1 - ;2 &-72 ~ ..;.,' #-- Date Ballot Received /(7- ?-tl-7;J -- ..... APPLICATION FOR ABSENT VOTER'S BALLOT For the Special Election to be held on October 2L, 1972, I, 11/t;,I/A E. i IY# h'~,.t./' , 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: 10 - :20 -72- Precinct No. / l~ ~,~P-o~ Si ture of App cant - '-fLl-<> ~ Jr Address ~,O~ City and State- }Jail Ballot to: For Use of Clerk Only: A 1 i R ' d /"- J..t> - 7 2- pp icat on ece~ve (./ . Ballot Number C/ tJ 0 t Date Ballot Delivered /6 -)~, 7 l- Date Ballot Received -, ~~~ \..~~J~';' ; 'D,>'rx/.'~t,J::'i\.it,.:;,.,,~.,:: \ ",ct, \~'. i~~J.:',i" ;;,7" ::,,';{i~.~,';';jT.?~'t;7?~.."L/'r"j ':J .'0 .,o.:~~~~; ...;;;;:~:"'''; '::::;~~'f~~~ ):r~'- "1?t;: ~ . . '. ~" "MCINCT'N'~.'7 a ABSENTEE BALLOT RECORD ....n .' ....n '. NAME 0'" AS-PUCANT .. ....T. ........OT " "<LOT HOME ADDRESS . A"'. IU:CD. MAILID ADDRESS" MA1\.E9~TO ItETUIIH&D DI&r Del JIION . P.J.IIUBI ;r. IfllhPJI;// 1%%1- .~ ~~ ..... /%, t..-~ 1'71 'I /;/P,c,h An. n '. 117:z. , '. .. . . .' ..' . , - , I I . . j . I 1 I .. . \ "I . . . ! . ! " I I . . I . . I I , . I . ! . - H" '. ..C........ -.," , .. . ~ .' "ff , ',. ''", . '. .' 0 I t ii t ~ ~ " .-.'] APPLICATION FOR ABSENT VOTER'S BALLOT For the Special Elect~on to be held on October 21:, 1972, I, ~~,tj) c J'. 771tJMI'~(j A/ , 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. __ fjl~/',v hI/. C/1'Altr"".,fI +" ~;rISC"F_ Date: / tJ - /7-7 J- Precinct No. I ~ ~L~ q~~~~1 . ~gnature of?pplicant - ~ /Z74-~p~ a~, Ad ress a:~1 rPAL~rrJ City an State..' J Mail Ballot to: For Use of Clerk Only: Application Received / tJ - (1- 7? Ballot Number g () tJ j, Date Ballot Delivered It)- /7-77. ~.i.v#-- Date Ballot Received I tJ- /1- 1 ;. ti;~},;i:~';"' '~~'i,,'~ ';,X,,'~":;~;.::,~'-),;/ \ I \ Ii: ," '."{/~1fJ~>.~.3ik:~~~~;j~~~":;""*~ff'~~:'~~~~j'~';~W~~:"?~o/~~(4~'r~~~~ '..:' :',.--c,' ABSENTEE BALLOT RECORD .....CINCT. No. /3 DA.. ..... NAME OF A;PPUCANT PO DATI .ALLOT .ALLOT HOME ADDRESS " A~. "ICO. MAILlD ADDRESS NAILED' TO RnUJl.H&D -....maN 7YtJJ./l-n> 13.)le, t,,tf#,tO# /%h' I~i. 7# /7 .~ 1t'1~ /3 ~ ./.11 ~ 61ft ?- ~~ 9 F 1 H/,JA./A..r#,f /'J., 7;L 1~ . . J I'JJIlKIF.4 /11. !1f. e/J.J/,-'A/ Y. " 1~tJ;? t}r//! f'J.. 13 1~/7;l 1~~.2. I' ,? ~7"" L. J4c-c."''''J/r~ /% 1~0 '7;l-C~. /~ 7.J t 101'..... A AI's. 13 ~~ 1')- 'I G:; Lln/I" t, 1'1("~/f.vhY' 1*.2 -%.hoZ 7l,{~ '% 'I 7?-b V .4-tlrp K /fv~ 13 ';t<( 'i>.u > -P. Y /rl'te /%~ ~i7;l ~~~ /% ~~ I " //;20 1'7"1,1>Jr~-r 57'. IJ 7;1. '''''~,2. ~).I;""'PR71 .5. YAP.~ J;; 1% 1:/;7;> " /%,~;> " I INS' 1"1f~,p,..r 17" :I'~;- '1 n " I . . ! t , . I I . I . t I . , I l t . t , i. . , l I' APPLICATION FOR ABSENT VOTER'S BALLOT For the election to be held on C'/<:UJI_ .<. '1 , 19 7 L, I, go / fA h d ~.l1c- C:p,nno"y\ (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 -i- ..Iir-L / unab.le to attend the election.) ~ Date (Jfli: ,-1 J '!7~ :rt~ )r;<-f~ / Signature of Applicant VOir 9 f I /-h~. (fJ~A Address O-O/fd ~~ 77.F.J1) City and Stat For Use of Clerk Only Mail Ballot To: If can be received by October 16th, mail tOI Roland IIcCpon Application Received /0-'(-7').. Ballot Number ~~ Date Ballot Delivered ~ I~h" Date Ballot Received 1~/7~ % Ansel Dewey Penfield. Illinois 61862 If not ready to mail to above address so that it can be delivered by October 16th, mail tOI Roland IIcCannen % Fred Salkeld 9 Harwood Place Blo~ingtan, Illinois 61701 13 APPLICATION FOR ABSENT VOTER'S BALLOT For the election to be held on () C;/:, .,{ '1 19 ?1... , -' I, L () (If>, fl tL A!. (Print name of Air> / (!L{ j/) n?1 0. as app icant) 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 w,/f J,~ alAi of J'j.","i 0.... J,,:t; of-. (Applicant must relate why he will be p ysi ally d(c1f.~ unable to attend the election.) ~l1i };~~~ Signature of Applicant Date (7 d;, '1 l ; J /I, p.. IN o..1J." P/(J.c~ Ad ress A~A )"M~ City and Stat Or"/~"" (i7-n..o For Use of Clerk Only Mail Ballo t To: If can be received by October 16th, mail to: Application Received /O~ '-/-7'1- Lorena M. McCannon Ballot Number ~Ct?1 %Ansel Dewey Date Ballot ~,f ///-//-7J- Penfield, Illinois 61862 Date Ballot Received /tj;r!1'J-- I . If not ready to mail to above address in tille to be received by October 16th, mail to: Lorena McCannon % Fred Salkeld 9 Harwood Place Bloomington, Illinois 61701 {!J APPLICATION FOR ABSENT VOTER'S BALLOT For the election to be held on (} ('~, .2 l./ ,19 /~, I,--:::rO'L 1, J1t.CO.O'''f'I'rIo..... (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 attend the election.) Date c; d. -3 / r ? J- ~ daf J:./Ma#'Ml} ~ignature of Applicant ~,j /J}- 7 ,j C h/(}.. / In r Address A..s h } 0, V\ (I (j 'f ~; 0 "'- City and State / For Use of Clerk Only Mail Ballo t To: Date Ballot Received /0- '1-77- ~ t?lJ 1- 1~/I1:L Ir:J~//1~ . Jo,,< L /'1, f.a 7\ T\n'V\ ?..J (. VA/ke.- A.shft1.,..,) [)y'yo"" / '1 '1.!.-J. /) Application Received Ballot Number ~ Date Ballot Dellv~.~d /3 APPLICATION FOR ABSENT VOTER'S BALLOT For the election to be held on (J('f~h 1 t{ . 19 ? '" . 1.. " \' a rI.,''f. L 11 <-.~Ill 1'\ n 1l'Y\ (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 1 will be physically unable to attend the election because unable to attend the election.) Date ad -J) / If 71- trul J '" i. me!. /311 A.( <]/I A'U J Signature of Applicant t.--~~ 7.,) C We. /kAr' Address A\.rA I t:.'Y\ rl City and State / Oyp J "" For Use of Clerk Onlv Mail Ballot To: Date Ballot Received J.O~'I~n. ~lT03 ItP-II-7r- /tJ-;JI./-7?- Iir-r. J() f. L I1r.J~o."r\'r\O'" 7..t C; 'vV 0. / k.o.., A.sh/I1.'Y\d./ 01~?h f7j-.J.T:. Application Received Ballot Number Date Ballot ~~~d ...] APPLICATION FOR ABSENT VOTER 1 S BALLOT For the Special Election to be held on October 2h, 1972, I, J~/I,(I fl. Y A- PIJ , as a qualif"ied 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: )0-/1-7';- Precinct No. / '} ~~~ Mail Ballot to: For Use of Clerk Only: Application Received /p-jt- ..,,. . Ballot Number >?' () 0 'f Date Ballot Delivered 10 _/~_7:z. Date Ballot Received 1t>-U-72 ~4~ ...J APPLICATION FOR ABSENT VOTER'S BALLOT For the Special Election to be held on October 24, 1972, I, E 1 / ~,If.(3.&r# 5'. V-+".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 physiclilly unable to attend the election. Date: /tJ-//-7:z. Precinct No. 1...3 ~~ L ~ h~0J/\' i ure of Applicant ~ 'P //..;2.~-~fl Address ~~ ~A.-. ~ City an State.. ~~ Mail Ballot to: For Use of Clerk Only: Application Received /~-1'-7;z.. Ballot Number ~t)tJb Date Ballot Delivered /0-//-72. Date Ballot Received /t?-/t:>7-:2- ~...:. ~ :\;"^!i"j;:j1;;'.' , ;~;:,M"" ,;,. ,,'; :,:,;~,;~,,';;;;~~,;/F\i;&~~\Yi1)~~~~,~~ :f#;:;:~~~~:~'< ,;' ':':~:;:r~::;::,~~~~- ,~"ss~._': '. "~:'~~: .'> . .-:. " "':<~' ~".< """.., ABSENTEE BALLOT ~ECORD PRECINCT' No Z ',. ) ""., DATI: DAn NAME OF APPLICANT .. DAn .ALLOT .ALLOT HOME ADDRESS # AHI. "&ce. MAILID ADDRESS MAILED' TO ItnUItH&O DlSPosmON /(60/,u/I' ll"A 7AVI-IJA :J. /pJ.;!,,- ~ 7!./, ' /p ft~ ). 7'3 Ci"Jl-htrE ~7' """" ". '., ., .' - , . j . I . I I , , , I . I I I f , r , I l , . , . . ' . . , I . . r , . , c,_ , I t , l "".- . '.' APPLICATION FOR ABSENT VOTER I S BALLOT For the Special Election to be held on October 24, 1972, I, !f';~EccA LeA- TAYj.IJ!'l.. , as a qualified voter of PriLnt 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: /0-7'1- 72. Precinct No. ~ /0 tJ J-E>~..;' r1 d"o c "" ~a_uf~ Signature of Applicant (J ~(). &;we /3~ilY3 ~ A ress O~~/5Afl~~ llity an State- Mail Ballot to: For Use of Clerk Only: Application Received /tl-;l,/-7:2- Ballot Number ~ ~tJ9 Date Ballot Delivered / 0- ~ '1" 7 'Z- Date Ballot Received lo~ -;-V-1) [~~~ . '} APPLICATION FOR ABSENT VOTER'S BALLOT For the Special Election to be held on October 24, 1972, I, M.,,,t.,,,o\ ~, ~Yv\ ,~ , as a qualified voter of ~~ 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: o".L 13. lCi'ljl Precinct No. rJOOf: N ,"'Q,lr-na.\ ~- S.,^^l~ Signature of App cant 1~~O'Sc...)('lo...,< ~{. :J.-C .A ress ,p,."...- ~ cu.:!!3d n V"e. Ml'c~\J\~"",~tlty an State. Mail Ballot to:.J{" ~O Su.) rei">. 'f <)-{. ~ -(' _.D^.r+\ QI M'..{ 0 Ire q7~ol For Use of Clerk Only: Application Received /tJ-;;<l17- -4 ~;?t~~ fr Ballot Number Date Ballot Delivered Date Ballot Received