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ABSENTEE BALLOT REQUEST FORM INSTRUCTIONS

/ > E -K / E KZ &KZ K&&/ h^ KE>z z E D ^ d / E z / Z z LJ / LJ LJ LJ LJ , ^ LJ LJ t z ^ D / D W K d W ' W LJ LJ ^ ^ KZ DO NOT ADD THIS INFORMATION TO MY VOTER record Date: LJ Z Z W LJ LJ / / / / / ^ y ^d d K& /Kt K&&/ / > ^ Ed >>Kd Z Yh

TO MY VOTER RECORD o } v Date: Z l } v } o ] o ...

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  Record, Ballot, Absentee ballot, Absentee

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