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Are not a citizen of the United States. No soy ciudadano de Los Estados Unidos States will not be eligible to vote in the county. 001. ANNIE REBECCA ELLIOTT District Clerk Attn Jury Department 301 Jackson Richmond Texas 77469 Fax 281 238-3337 E-mail jurydept co. Printed Name FIRSTNM MIDDLENM LASTNM Signature Date Phone IF CLAIMING AN EXEMPTION OR DISQUALIFICATION COMPLETE IN INK AND RETURN TO INFORMATION BELOW. PLEASE NOTE YOU WILL NOT RECEIVE A CONFIRMATION NOTICE FROM OUR OFFICE ON...
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