Beruflich Dokumente
Kultur Dokumente
The Attorney General of California has prepared the following title and summary of the chief purpose and points of the proposed measure:
NOTICE TO THE PUBLIC: THIS PETITION MAY BE CIRCULATED BY A PAID THIS COLUMN
FOR OFFICIAL
COUNTY REGISTERED VOTERS ONLY SIGNATURE GATHERER OR A VOLUNTEER. YOU HAVE THE RIGHT TO ASK. USE ONLY.
R
1
________________________________________________ ________________________________________________________________________
SIGNATURE AS REGISTERED RESIDENCE ADDRESS
E ________________________________________________
PRINT YOUR NAME
________________________________________________________________________
CITY ZIP
G 2
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I
SIGNATURE AS REGISTERED RESIDENCE ADDRESS
________________________________________________ ________________________________________________________________________
PRINT YOUR NAME CITY ZIP
S 3
T
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SIGNATURE AS REGISTERED RESIDENCE ADDRESS
________________________________________________ ________________________________________________________________________
E 4
PRINT YOUR NAME CITY ZIP
R ________________________________________________
SIGNATURE AS REGISTERED
________________________________________________________________________
RESIDENCE ADDRESS
E
________________________________________________ ________________________________________________________________________
PRINT YOUR NAME CITY ZIP
D ________________________________________________
SIGNATURE AS REGISTERED
________________________________________________________________________
RESIDENCE ADDRESS
________________________________________________ ________________________________________________________________________
PRINT YOUR NAME CITY ZIP
V
6
________________________________________________ ________________________________________________________________________
SIGNATURE AS REGISTERED RESIDENCE ADDRESS
O ________________________________________________
PRINT YOUR NAME
________________________________________________________________________
CITY ZIP
T 7
________________________________________________ ________________________________________________________________________
E SIGNATURE AS REGISTERED
________________________________________________
PRINT YOUR NAME
RESIDENCE ADDRESS
________________________________________________________________________
CITY ZIP
R 8
S
________________________________________________ ________________________________________________________________________
SIGNATURE AS REGISTERED RESIDENCE ADDRESS
________________________________________________ ________________________________________________________________________
PRINT YOUR NAME CITY ZIP
9
O ________________________________________________
SIGNATURE AS REGISTERED
________________________________________________________________________
RESIDENCE ADDRESS
N
________________________________________________ ________________________________________________________________________
PRINT YOUR NAME CITY ZIP
10
L ________________________________________________
SIGNATURE AS REGISTERED
________________________________________________________________________
RESIDENCE ADDRESS
Y
________________________________________________ ________________________________________________________________________
PRINT YOUR NAME CITY ZIP
Declaration of Circulator (To be completed in the circulator’s own hand after above signatures have been
obtained). I am registered to vote or qualified to register to vote in the State of California. I circulated this section of the
petition and witnessed each of the appended signatures being written. Each signature on this petition is, to the best of my
information and belief, the genuine signature of the person whose name it purports to be. All signatures on this document
were obtained between / / and / / .
month/day/year month/day/year
I declare under penalty of perjury under the laws of the State of California that this entire declaration is true and correct.
Executed / / at _________________________, CA. Signed: _____________________________
month/day/year city or town complete signature of circulator (first, middle, last name)
__________________________________________________________________________________
printed name (first, middle, last) residence address city or town zip
Volunteer
Initiative Measure to be submitted directly to the voters
The Attorney General of California has prepared the following title and summary of the chief purpose and points of the proposed measure:
recycled paper