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NOTE: THIS FORM IS TO BE USED IN LIEU OF ENVELOPE BTO be filled in by Municipal Clerk before issuing NAME OF ELECTOR (or Overseas Voter) ELECTORS VOTING RESIDENCE* (No. And Street) DATE OF ELECTION
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This document is a certification statement dated May 23, 2018.
Individuals or entities specified by the regulatory authority are required to file this certification statement.
The certification statement must be completed by providing accurate and truthful information as requested.
The purpose of the certification statement is to ensure compliance with regulations and to attest to the accuracy of the information provided.
The information required to be reported on the certification statement will vary depending on the specific requirements of the regulatory authority.
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