IINSTRUCTIONS ON REVERSE SIDE I NOMINATING PETITION I8()CJ

(CITY/TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of the Of} SHE.1-.13"J '1WI f. ,in the County of /Yl1J60 ft1l3. ,and of Michigan,
ISTRIKE ONEI ::%
nominate C./OOK ' \500 0'J cyr -SHl?kfJY rwp
i
as a candidate of the
(Name of Candidate)
D E e f?. tLrlC Party for the office of T1\ US
or Rural Route)
IG t:: , -5/it:-J..J3Y
(City or Township) -
Twp to be voted for at the r:imary Election
to be held on the

L day of ,20 i;;2.. .
(Title of Office) (District, if any) :.:

WARNING -A PERSON WHO K WINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE OEfICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW. C7'
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DATE OF SIGNING
Month I Dav I Year
Zip Code Street Address or Rural Route Printed Name Signature
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CERTIFICATE OF CIRCULATOR
The undersigned circulator of the above petition asserts that he or she is qualified to circulate this petition and that each signature on the petition was
signed in his or her presence; and that, to his or her best knowledge and belief, each signature is the genuine signature ofthe person purporting to sign
the petition, the person signing the petition was at the time of signing a qualified registered elector of the City or Township listed in the heading of the
petition, and the elector was qualified to sign the petition.
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO

REORDER NO. 401 (50 TO A PAD) REV 12/02
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
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PRINTING SYSTEMS TAYLOR, MI 1800-9512345 FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
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I INSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
. . . City . } S H' . L v:2 V --Wp. Inf1 d 0 f'r1 is . .
We, the undersigned, registered and qualified voters of the Township of 0 / I.,In the County of , and State of Michigan.
, ISTRIKE ONEI , _
nominate 600/<'' 60
0
6 C H ELfYlS f'olZfJ (J/" 5/iELI:j>' 'TW':;._
(Name of Candidate) -r-: . (Street Address or Rural Route) (City or Township) N
as a candidate of the [)IEM 0 Co A-rI G Party for the office of I l<uSIt::t:: s Ii)7!.l.61 TWfJ to be voted for at the Election
I .LIJ (Title of Office) (District, if any) ::::0
to be held on the '7Mv day of AL< SI ,20 .I N
WARNING -A PERSON WHO KNOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE GiFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW. ==
Street Address or Rural Route
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Printed Name
::JosePH /J, ffI AN'-. ELL/!
Signature
15
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REORDER NO. 401 (50 TO A PAD) REV 12/02
PRINTING SYSTEMS' TAYLOR. MI' 1-800-95-12345' FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
CERTIFICATE OF CIRCULATOR
The undersigned circulator of the above petition asserts that he or she is qualified to circulate this petition and that each signature on the petition was
signed in his or her presence; and that, to his or her best knowledge and belief, each signature is the genuine signature of the person purporting to sign
the petition. the person signing the petition was at the time of signing a qualified registered elector of the City or Township listed in the heading of the
petition, and the elector was qualified to sign the petition.
.......
l


!INSTRUCTIONS ON REVERSE SIDE I NOMINATING PETITION --u
(CITY/TOWNSHIP PARTISAN) .
We, the undersigned, registered and qualified voters of the Of} ,{;lIRl.8Y TWP ,in the County of ;rJ!)WfY1 J6 ,and State of Michigan,
ISTRIKE ONEI _
nominate C' ltRRYVC t C 00K 6600'I. 5FaY{D Gr. S}feLJ3)i nvr
(Name of Candidate) (Street Address or Rural Route) (City or Township) ::DiI'
as a candidate of the D () , Party for the office of -rRtd.5 fE IE to be voted for at the::lmary Election
(Title of Office) (District, if any) N
to be held on the 7 of UGi.{ Sr: ,20 1;)..< .
WARNING -=APfRSON WHO KNOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE QrFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
2
3
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6
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10
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CERTIFICATE OF CIRCULATOR
The undersigned circulator of the above petition asserts that he or she is qualified to circulate this petition and that each signature on the petition was
signed in his or her presence; and that, to his or her best knowledge and belief, each signature is the genuine signature of the person purporting to sign
the petition, the person signing the petition was at the time of signing a qualified registered elector of the City or Township listed in the heading of the
petition, and the elector was qualified to sign the petition.
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE
" CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
1J3 )5"
REORDER NO. 401 (50 TO A PAD) REV 12/02
'::'r. Code) C0
PRINTING SYSTEMS TAYLOR, MI 1-800-95-12345 FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
. 16&
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!INSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of the Of} Sit8./;Y 7wP ,in the County of IJ7/JC;ofYll3 ,and of Michigan,
ISTRIKE ONE I. N
5
6010
7 nominate 6A.,(tR 8tY0E. COOK.. C4!afrt CO/V/f.() Cr: SJl8J6Y tWp.
(Name of Candidate) (Street Address or Rural Route) (City or Township) :;::0
as a candidate of the De h} (j GR 1171 Party for the office of If<. us1eT<. ' EII/!lv16 y Tl1/P to be voted for at the Nmary Election
. / f) (Title of Office) (District, if any) :r:
to be held on the 7 :x::JV day of ,20 J.J. . :x
WARNING -A PERSON WHOOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
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DATE OF SIGNING
Month I Dav I Year
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Zip Code

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<7931'>
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Street Address or Rural Route
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Printed Name Signature
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7
6
4
5
2
3
15
14
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12
11
CERTIFICATE OF CIRCULATOR
The undersigned circulator of the above petition asserts that he or she is qualified to circulate this petition and that each signature on the petition was
signed in his or her presence; and that, to his or her best knowledge and belief, each signature is the genuine signature of the person purporting to sign
the petition, the person signing the petition was at the time of signing a qualified registered elector of the City or Township listed in the heading of the
petition, and the elector was qualified to sign the petition.
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
REORDER NO. 401 (50 TO A PAD) REV. 12/02
PRINTING SYSTEMS TAYLOR, MI 1-800-95-12345 FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
d- 1'1 /"2-NS
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5&/)9
\ INSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
(CITYfTOWNSHIP PARTISAN) N
We, the undersigned, registered and qualified voters of the Of} 5He/..... Y3t TWP , in the County of mAca;116 ,and of Michigan,
ISTRIKE ONEI :::0
eCVk &Jd;? ef/eJ-mS1f!<D v7: SIItJ-.Y6V TwP N
nominate
(Name of Candidate) (Street or Rural Route) (City or Township)
as a candidate of the 0 eyY) CJ6I{ttTl e:.,., Party for the office of t J.< it f) I e S)fa1?>'I [tre to be voted for at thiirimary Election
(Title of Office) (District, if any) =
to be held on the 7.dday of ,20 J;?" . ;.
WARNING -A PERSON WHO OWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE 6l=FICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
2
3
4
5
6
7
8
9
10
11
12
Signature Printed Name
,IV) 0'>'>
[ r
Zip Code
tiP
13
14
15
CIRCULATOR - DO NOT SIGN OR DATE
CERTIFICATE OF CIRCULATOR
The undersigned circulator of the above petition asserts that he or she is qualified to circulate this petition and that each signature on the petition was E.RTIFICATE)JNTIl,.f.FTaR CIRCULATING PETIT.ION.
signed in his or her presence; and that, to his or her best knowledge and belief, each signature is the genuine signature of the person purporting to sign
0(#1{, 3 ' /9.., / )J.
the petition, the person signing the petition was at the time of signing a qualified registered elector of the City or Township listed in the heading of the

of 11 0 GI" j.,; (Date)

petition, and the elector was qualified to sign the petition.
r\E J\!U F:: 1" U 'v,"
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE (Pr!nted Na.me of Circulator) , /)
%
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO I!/-F.. Y -rO WJV Sill"
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
tU _IS
REORDER NO. 401 (50 TO A PAD) REV. 12/02 umber or Rural Route) ;::,r Code) CD.
PRINTING SYSTEMS. TAYLOR, MI 1-800-95-12345 FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
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IINSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of the Of} S f} R- Li3 'I. TwP ,in the County of mil C{) )'V) YO ,and State of Michigan,
ISTRIKE ONEI '
nominate ,8 lS EJV6 Coc k.S0 0 b,l 6 fi J.u/YlS Foi<,f) CI Sf!fJ-" '6y, TV/!#s
I (Name of Candidate) (Street or Rural Route) (City or Township) ::c
as a candidate of the Party for the office of to be voted for at thiPrimary Election D 06e. ftT/C> U. sit r:.
, .' J (Title of Office) (District, if any) ;:;
to be held on the ];;()!v day of J4U(;> L{ S ,20 JJ... .
:z-
WARNING -A PERSON WHO KNOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE EJFFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW. :::::
Zip Code
Signature
14
15
CERTIFICATE OF CIRCULATOR
The undersigned circulator of the above petition asserts that he or she is qualified to circulate this petition and that each signature on the petition was
signed in his or her presence; and that, to his or her best knowledge and belief, each signature is the genuine signature of the person purporting to sign
" j the petition, the person signing the petition was at the time of signing a qualified registered elector of the City or Township listed in the heading of the
\['" petition, and the elector was qualified to sign the petition,
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
REORDER NO, 401 (50 TO A PAD) REV 12/02
PRINTING SYSTEMS' TAYLOR, MI 1-800-95-12345' FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
\)(./UJ2',J U4= ._ _'-1ft 315
Code) CD
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j,NSTRUCTIONS ON REVERSE SIDE I NOMINATING PETITION
'
(CITY,iTOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of the Of} II /....,J3y 7wP ,in the County of /fJficoJ}t 5 ,and State of Michigan,
ISTRIKE ONEI
nominate CLIlt<. E1YC.d2. Cook Su
6
ClfetfllS &M!t') Ct7 S#.et6'Y Twf?
(Name of Candidate) (Street Address or Rural Route) (City or Township) >
as a candidate of the DeMo 0R!tOe Party for the office of g [we to be voted for at Election
(Title of Office) (District, if any) N
to be held on the 74 day of ,20 12 . :II
WARNING -A PERSON WHOR'NOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
Printed Name Street Address or Rural Route
Signature
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15 1\ hI 1 II....-r\ IF"\. " A . A .\;;f--.. I rT IT ( 11
CERTIFICATE OF CIRCULATOR
The undersigned circulator of the above petition asserts that he or she is qualified to circulate this petition and that each signature on the petition was
signed in his or her presence; and that, to his or her best knowledge and belief, each signature is the genuine signature of the person purporting to sign
IJ.
the petition, the person signing the petition was at the time of signing a qualified registered elector of the City or Township listed in the heading of the
petition, and the elector was qualified to sign the petition.

WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
_..:J'!v_({). I u.r. tf
REORDER NO. 401 (50 TO A PAD) REV. 12/02 . . .. . Code) CD.
PRINTING SYSTEMS' TAYLOR, MI' 18009512345 FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
'68
9!:bY
!INSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
We the undersigned, registered and qualified voters of the Of} S1f Eb\5)/ ,wf ,in the County of ;1J fie () B ' and State of Michigan,
, ISTRIKE ONEI
nominate C06/< 500b1 6 HJE.lw\SfoRI/) GT /wp N
(Name of Candidate) (Street Address or Rural Route) (City or Township)
DM TiC rR US 1/2 ' Party for the office of to be voted for at the-Primary Election
(fille of Office) (District, if any) N
as a candidate of the
to be held on the Jd day of sf ,20 .
WARNING -A PERSON WHO KNOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE efFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
Signature
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8
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A, Cook.

CERTIFICATE OF CIRCULATOR
The undersigned circulator of the above petition asserts that he or she is qualified to circulate this petition and that each signature on the petition was
signed in his or her presence; and that, to his or her best knowledge and belief, each signature is the genuine signature of the person purporting to sign
the petition, the person signing the petition was at the time of signing a qualified registered elector of the City or Township listed in the heading of the
petition, and the elector was qualified to sign the petition.
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
REORDER NO. 401 (50 TO A PAD) REV 12/02
PRINTING SYSTEMS' TAYLOR, MI 1-800-95-12345' FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
CAr'
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:::'[ Code) C0
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IINSTRUCTIONS ON REVERSE SIDE I NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of the Of} Sfl1--6"1 'Twe 'in the County of /tJ/l:; 0 iY\ l5 'and State of Michigan,
ISTRIKE ONEl _
nominate Cook S'c<QD. 6-H"KJ-hlSFoRD {}T 7wP
(Name of Candidate) (Street Address or Rural Route) (City or Township)
as a candidate of the Party for the office of to be voted for at the:glmary Election D)Yr\ R. vrD C 'T&.IJ,sl f.
, .fl , . -'-', (Title of Office) (District, if any) N
to be held on the 7;.{;1v day of /} Ub4 I ' ,20 I;). :J\II"
WARNING -A PERSON WHO KNOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE OiFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW. ":":
Printed Name
)2.

J !Al\ """"" 17p7'

1"
13
-
14
15
CERTIFICATE OF CIRCULATOR
The undersigned circulator of the above petition asserts that he or she is qualified to circulate this petition and that each signature on the petition was
signed in his or her presence; and that, to his or her best knowledge and belief, each signature is the genuine signature of the person purporting to sign
the petition, the person signing the petition was at the time of signing a qualified registered elector of the City or Township listed in the heading of the
petition, and the elector was qualified to sign the petition.

WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
REORDER NO, 401 (50TOA PAD) REV 12/02
PRINTING SYSTEMS' TAYLOR, MI 1800-95-12345' FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
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