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NAME OF SIGNER PLACE OF RESIDENCE DATE PRECINCT <br />(Print on First Line. <br />Sign on Second Lina) <br />1. <br />f <br />2. <br />i <br />i <br />3.. . <br />4. <br />5. <br />I <br />6. <br />i <br />7. <br />I <br />8• <br />I <br />i <br />9. <br />10. <br />I <br />I <br />1. <br />I <br />1? <br />i <br />I <br />I <br />14, <br />I <br />I <br />15. <br />