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PETITION Cease and Desist Smart Meter Deployment, City of Naperville, IL

We, the undersigned, qualified voters in the City of Naperville in the Counties of DuPage and Will and the State of Illinois, do hereby PETITION the City of Naperville, Illinois to cease and desist all work related to the installation of the City of Naperville smart meter deployment, effective immediately. We also petition the city to remove any smart meters, gatekeepers, or tropos units that have been installed within the City of Naperville.

NAME (VOTERS SIGNATURE)


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STREET ADDRESS

CITY/County/STATE
NAPERVILLE / DUPAGE / WILL/ IL NAPERVILLE / DUPAGE / WILL/ IL NAPERVILLE / DUPAGE / WILL/ IL NAPERVILLE / DUPAGE / WILL/ IL NAPERVILLE / DUPAGE / WILL/ IL NAPERVILLE / DUPAGE / WILL/ IL NAPERVILLE / DUPAGE / WILL/ IL NAPERVILLE / DUPAGE / WILL/ IL NAPERVILLE / DUPAGE / WILL/ IL NAPERVILLE / DUPAGE / WILL/ IL

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State of _________________________ County of ________________________

) ) )

SS.

I, _______________________________________ do hereby certify that I reside at ___________________________________________, (Circulators Name) (Street Address) in the _____________________________ of ____________________________________________________, ___________________, (City/Village/Unincorporated Area) (if unincorporated, list municipality that provides postal service) (Zip Code) County of ____________________, State of ____________________ that I am 18 years of age or older, that I am a citizen of the United States, and that the signatures on this sheet were signed in my presence, not more than 90 days preceding the date of submission of the Petition to the City and are genuine and that to the best of my knowledge and belief the persons so signing were at the time of signing the petition registered voters of the City of Naperville, State of IL and that their respective residences are correctly stated, as above set forth. __________________________________________________ (Circulators Signature) Signed and sworn to (or affirmed) by _________________________________________ before me, on this ____day of ______,2011. (Name of Circulator) (insert month, day, year) __________________________________________________ (Notary Publics Signature) (SEAL) SHEET NO. __________

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