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!INSTRUCTIONS ON REVERSE SIDE I


NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of the =nship Of} 5Ht:....$Y , in the County of /'>14 comE ,and State of Michigan,
STRIKE ONE
&L?ERr !SuC L.e/J1,A JVM/?-JE SIYCc..!?y
nominate
( ame of Candidate) J (Street Address or Rural Route) (City or Township) to::
as a candidate of the ('.4/\/ Party for the office of ,SfI'dr' nAJ,JJ/I/l7o be voted for at the Election
zJY (Title of Office) (District, if any) N
to be held on the 7 day of /JtV{?/s /- ,20 12
WARNING -A PERSON WHO KNOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE Q1ZfICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW. is?
Printed Name
\'i\t "W -.-.-" rr (/ fA ' I -_... -I 7 rt\.
<. =<:0:: i ............
CERTIFICATE OF CIRCULATOR
The undersigned circulator of file petition asserts that he or she ;s 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.
L
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
Street Address or Rural Route Zip Code
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f68
14
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jlNSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of the Of} 5 H t: L-g Y ,in the County of m,q Co M 15 , of Michigan,
I2olSE/2.r (&3) t..ftet" __ sNEcEy
nominate
(Name of Candidate) (Street Address or Rural Route) (City or Township) ':3
Cr>cJg C( ('-4 A..J Party for the office of S c/"or y/..sCJ.. , 5116L$ Y 7btJ#JH//to be voted for at the?fmar y Election
as a candidate of the
z:K (Title of Office) (District, if any)
to be held on the 7 - day of , .4cJt;'t/sr ,20 1,7 ,
WARNING -A PERSON WHO KNOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE OI4rICE OR
SIGNS A NAME OTHER THAN HIS OR HER ,OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
", . Code) rr,

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8
9
13
12
11
10
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
/ "" "" ,. ... ._ / 'v
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6
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 sigr'\ the petition,
7 - i
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PRINTING SYSTEMS' TAYLOR, MI' 1-800-95-12345' FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
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CERTIFICATE OF CIRCULATOR
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IINSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of the Of} 5he J bJa 'in the County of MCt C OJn b ,and .s;ate of Michigan,
ISTRIKE ONEI
nominate Rober-t: CBob) lemcaYl PJo..CL S
(Name of Candidate) (Street Address or Rural Route) (City or %
Rep /...t.,b Ii can Party for the office of S'upen),' 50(' ,5h e lb'ifTocof\ 5 to be voted for at Election
(Title of Office) (District, If any)
as a candidate of the
to be held on the ith day of f+ U u5t ,20 J .
WARNING -A PERSON WHO KNO INGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE diFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
DATE OF SIGNING
Month I Dav I Year
Zip Code
/;;.. ;:...(j ;;;
LJ is}d a )J-,
Signature Printed Name
.3X. 1
2
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soC- __=-4 __ __----,,--.
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8
9
10
11
12
13
14
15
Street Address or Rural Route
Sum me u
Y V /'f.e:5:T'CYv ?/
5'4
7
00 f\ n
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

'-I ttJl
I INSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
City }
We, the undersigned, registered and qualified voters of the Township of
S'h
e

. .in the County of , and of Michigan,
ISTRIKE ONEI
nominate Robert CPx>b) Leman
of Candidate)
41G}lo
.
5LJmmerPJacL.
(Street Address or Rural Route)

N
as a candidate of the RepLA bI I caY) Party for the office of SupeY' ViS 0 C
(Title of Office) (District, if any)
_ to be voted for at the -Nmary Election
-0
to be held on the 1 th day of IOL .
WARNING -A PERSON WHOKOO\YINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE 6J!FICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
i IS 2.D12
US dcld
(SitJnature of Circulator) n l" .. 1,., /0 \ _
H '-'Y\O Y)
- '-'
Printed Name Signature
11
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
/\I; Y10 S"
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.
1.9\
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10
9
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SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.

<:1\\'
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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
(City or Township Registered) " (:lv::>/ :2
!:\31- \\0 L\'i\e s !..J y _.-( 0 J ..::>
Complete Residence Address (Street and Number or Rural Route) .:'[ Code) 0D
\6&

IINSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
,'" (CITY/TOWNSHIP PARTISAN)
.:J ke. \6\. / ,in the County of }'1c..CO b ,and State of Michigan
,om;"," 'Jo """"'=' , -, ,,",p.,l e T 5qb 7 w ;.,je........ "f e. . 5 \,..,e I b,/ TDvJ "'SL..: .
of andidate) _ (Street Address or Rural Route) T (City or
as a candidate of the Q-e?V\ bIl Cc"\, V"'" Party for the office of \ (" '"s -\ e.. e , 5 ""e\ \) V voted for at theJ.!1imary Election
\ (Title of Office) if any)
to be held on the 7 day of "'T ,20 \? .
WARNING -A PERSON WHO K WINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE ara=ICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW. a,
II.-
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DATE OF SIGNING
Month I Dav I Year
Zip Code
CIRCULATOR DO NOr SIGN OR DATE
Street Address or Rural Route
Kr.? /h .I\.v
.Qn1C/I'1
Printed Name
Lei!J4;
2
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..
/ ,I /? //2
petition, and the elector was qualified to sign the petition.
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE
./' C/"
..? ./1--'" <:" h7L/ "'7
';:;' /
(Date)
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO --;rvz.."", .. .
\n.

REORDER NO. 401 (50 TO A PAD) REV 12/02
PRINTING SYSTEMS TAYLOR, MI '80095-12345' FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
\00\
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
5Jr Township Whe.r:; Registered) /,,"). L
5 y7?C / ..... r/ /1-
Complete Residence Address (Street and Number or Rural Route)
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[ZiP Code) (Jr:;
16&
CIRC LATOR DO NOT SIGN OR DATE
CERTIFICATE UNTIL AfTER CIRCULATING PETITION.
" Up! MIL
. 117

Printed Name Signature
4
5
CCu(+k
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
{p &fJ I d-
IINSTRUCTIONS ON REVERSE SIDE I NOMINATING PETITION
(CITY;TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of the Of} 5' he Ib1- To wn S h J'f ' in the County of Mac 0 rYlb ' and State of Michigan,
ISTRIKE ONEI
nominate Rohe,rf. (Bob) Lemci:)o 4 Summer Plac.e- Sh-e..-Ibj IOLUClSh:p ...
(Name of (Street Address or Rural Route) (City or Township) , N
as a candidate of the. Rep i A bl"C c.::L:l1 Party for the office of SUPtr" Vl S or ,She! Ibubb;p to be voted for at Election
(Title of Office) istnct, If any) :z:
10 b' h'ld oolh, '1 +f., d,y 01 A- U $ t ,20 16 . ':::l
WARNING -A PERSON WHO INGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE Q:fFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW, :x
I 10...J..<ft(/t7; L..,'t-<9'-A.G.CC Ilf'l'ytl( 0lfc< 'l)1'OCO 1$ltIeIOl"'f1-Vf \ "7 C/ 2 l :> \ I 1['- \ Co 1
11
12
13
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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.
" 'W c,.) V " ", ItA "lAYV,. ......... _ /--'l(PJL
REORDER NO. 401 (50 TO A PAD) REV. 12/02 .. ,,_. , .. .. , ;::,r Code) (lJ
PRINTING SYSTEMS' TAYLOR, MI' 1-800-95-12345 FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN

\68
(Date)
186 IJ
IINSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of the Of} S:he lb 1- TOW10 S b"p ,in the County of Mct wr-nb ,and State of Michigan,
nominate Rtrbet"t (bob) LeMQ.;:;KEONE' "', '-IICflp S'UMrY\er Pla.-C.L ShelbY.- Tou.. _
(Name of Candidate) (Street Address or Rural Route) LJ (City or TownLlip) (.
as a candidate of the ]cpu.-b I I' C. Qf1 Party for the office of SUp er \/1 SO r ,She"'/ bi=-- 'llW'nS-hl 'p to be voted for atii Primary Election
l th (Title of Office) U(District, if any)
to be held on the day of At-ts '20 J '(}.J ,
WARNING -A PERSON WHO KNdWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE:!lFFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW. i9
CERTIFICATE OF CIRCULATOR
Street Address or Rural Route
CIRCULATOR DO NOT SIGN OR DATE
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 ERTIFICATE UNtiL AFTER CIRCULATING
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
1 < _ \ I ( 2.,
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, 'M"WXPi Uh/ts/Tf (D_a_te
l
__
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,
---- .,-,' ,., {{! , , G0
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
\t\ \6&
- - ----- --- -
o0fj;r
ON REVERSE SIDE I
NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified voters of th owns' of J S 1-1 J... 11 y '7;) klN-S,1( P , in the County of 111 ,4 G 10 MiS. and State of Michigan,
(fl"s) STRIKE ONE
nominate f2.0GU-r :,,(eP1l9,.) 0Utnl17,e (J'.flc..t& ...5Y!-t..#y
(Name of Candidate) (Street Address or Rural Route) (City or ownship) _
as a candidate of the t< 1-1' () Ii L, G t1,.J Party for the office of StJ I' (;eJ IS 0 12. , S y to be voted for at Election
(Title of Office) (District, if any) :e-
to be held on the 7 tJl day of Av (.., lJ S T ,20 le:t
WARNING -A PERSON WHO KNOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE""'OFFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
Zip Code
QT
Street Address or Rural Route
1 .' I j I
'1:1'1 \! ,uS L 11"
CIRCULATOR DO NOT SIGN OR DATE
ScAI/3" A!.c LUI'!-Y 'ft9311 I I
SCA.t.60.e.o WA t
Printed Name Signature
4
2
3
12 /' V )-../ / /1..l.A1Jh I / YI /, -e II /\
11 I I
15 I Ue/7/Z-J..'S' 7), ::;;"CK'S
13 / u;: A.. t1 r IJ 1'7/ /1 1/; J.. /, / r I ",) e tt /1 C j'J t1 c J/ / c h () IJ
14' ...lRJ",.J,,.J I JACK!
10 ((t'X rA .(I AM 0 ?f 0 -/ / . cJ>I.l"J f\ Ifl e
CERTIFICATE OF CIRCULATOR
f I F=".
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 RTIF1CATE UNTIL AFTER CIRCULATING PETITION.
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
.. / ' //..1
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
(S ./.7 (Date)
petition, and the elector was qualified to sign the petition.
/l/fUJc,y d. IOAIL..5_ --
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE (Printed Name of Circulator)
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO S//4:-LIl y r"Jr? _._
(City or Township Where Registered)
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
/r{ rOY ....S/Uf"<.,,t9Y 7AJe
/71; yrJ<r
REORDER NO. 401 (50 TO A PAD) REV 12/02
Complete Residence Address (Street and Number or Rural Route) :::'r Code) C0
\L\ PRINTING SYSTEMS' TAYLOR, MI 1800-95-12345 FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN
'68

/ J--...-"
/(7
/ I If I /2-
DATE OF SIGNING
." th I Dav I Year
Zip Code
V...s.J.7 /S
d"'_t.C-
Street Address or Rural Route
EE:r6:'
Printed Name
Lt'J1da.. M. U1-tJU-+
b
Signature
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10
11
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qtQrJ-
I INSTRUCTIONS ON REVERSE SIDE I
NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
}
We, the undersigned, registered and qualified voters of thelI'iCnshii3)of e5:H fA-if Y ,in the County of A?A m,s , and State of Michigan,
ISTRIKE ONEI
nominate --<A1/1N '1/9; S V",ez?.<:.. /?<..r2C6 7Ot.-lN SIi,e
ame of Candidate) (Street Address or Rural Route) (City or Township) N
as a candidate of the Rcttl & I C.A AI Party for the office of SUe?;. c.J IS0 e , Stllfn-,gv L"iJtfl, to be voted for Primary Election
(Title of Office) (District, if any)
to be held on the /7'6 day of /lcl<2l/o& r ,20 1.1. . N
WARNING -A PERSON WHO KNOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW,
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 UNTIL AFTER CIRCULATING PETITION.
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
t:.A-1 a. -+----'- / /
/J
/7 d3ate)
petition, and the elector was qualified to sign the petition.
/11\1 c..- y ,/J--i e;'9/'"/.s
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE (Printed Name of Circulator)
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO ...5r/i!' -:;W
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
IOC0/d-
I INSTRUCTIONS ON REVERSE SIDE I NOMINATING PETITION
(CITY/TOWNSHIP PARTISAN)
We, the undersigned, registered and qualified vo.ters of the Of} 5 h eo /bI{ , in the County of Maco-mb ,and State of Michigan.
ISTRIKE ONEI a.
nominate Robert (Bob) LemQ:Yl 'it9(P Summe(' Plac..L
(Name of Candidate) (Street Address or Rural Route) (City or Thwnship)
as a candidate of the Qepuh 1i CQ...f'L. Party for the office of Superv,'sOr ,SheltN TOWQsh j'f to be voted for at the Primary Election
(Title of Office) O(District, If any)
to be held on the 1 day of A U.lvs t ,20 I J..., .
WARNING -A PERSON WHO KNthYINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE OFFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW. ;::;)
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
__ Alt:
Un-e.-
Street Address or Rural Route 1-
Le- LeI-e...JC
Printed Name
S\:'L 1
,
Signature
.sx..., 2
3
-
4
-
5
-
6
-
7

8
9
-
10
11
12
-
13
-
14
-
15
CIRCULATOR - DO NOT SIGN OR DATE
CERTIFICATE UNTIL AFTER CIRCULATING PETITION.
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
-,--1-,-,-I
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
':f.. cL.-+-! --L .':- /J,=--
(Date)
petition, and the elector was qualified to sign the petition.

J h LcmcaJq
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE (Printe N me 0 f,irculatow,.....
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.
L./g3JIp
:::M-" a {g _
REORDER NO. 401 (50 TO A PAD) REV 12/02 " . Code) rr.
Complete Residence Address (Street and Number or Rural Route) r '--/(\ L
PRINTING SYSTEMS TAYLOR, MI ' 1-80095-12345' 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 } 5h J'b - h' M b ' .
We, the undersigned, registered and qualified voters of the Township of e 11= I OWn S 'f'in the County of J I Cl C. Ot--Y1 , and of Michigan,
ISTRIKE ONEI N
nominate Robevt. (Bob) LemaYl Svrnme(' PlaCL Shelb\1 ;
(Name of Candidate) (Street Address or Rural Route) (City or Towntlip) %
as a candidate of the ' Re- pubI I Co a:n Party for the office of .S u per v' ISO r ,Sbe IbVToW"Y\S hI'p to be voted for at Election
'1 th (Title of Office) (District, if any)
to be held on the day of A s1... ,20 I;;L ,
WARNING -A PERSON WHO K WINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE ElFFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
DATE OF SIGNING
Month I Dav I Year
Zip Code
7/lXJ,3i5
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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 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.
q REORDER NO. 401 (50 TO A PAD) REV. 12/02
PRINTING SYSTEMS TAYLOR, MI' 1-8009512345' 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 thei:tnshlP Of} SHElEY ,in the County of fYL i) CD fYt B , of Michigan,
/' :\ ISTRIKE ONEI (.
nominate L'?612-; ( &"'J cs:) L E /l1 L) N !j/ 9(; S U fYllYl 12 C E.. S!-I;: L;S Y -TO -gl ! ,P
(Name of Candidate) (Street Address or Rural Route) (City or Township) .......
as a candidate of the dE/"U !.?L / CA A.1 Party for the office of S-UP;:: l2-u ) Sa R S 1-1 L./SY L0)/J to be voted for at thqrimary Election
r p . (Title of Office) (District, if any) r;:i
to be held on the 7 day of /}J6,
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():;;;./ ,20 I 2 .
WARNING -A PERSON WHO KNOWINGLY SIGNS MORE PETITIONS FOR THE SAME OFFICE THAN THERE ARE PERSONS TO BE ELECTED TO THE &iFICE OR
SIGNS A NAME OTHER THAN HIS OR HER OWN IS VIOLATING THE PROVISIONS OF THE MICHIGAN ELECTION LAW.
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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 ,_ RTIFICATE UNTI AFTER CIRCULATING PETITION.
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
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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.
of C (Date) 'b,
V'JI1" D W ,t-S,
WARNING - A CIRCULATOR KNOWINGLY MAKING A FALSE STATEMENT IN THE ABOVE (Printed'Name oi Circulator) {
CERTIFICATE, A PERSON NOT A CIRCULATOR WHO SIGNS AS A CIRCULATOR, OR A PERSON WHO teJ \...t '" S' -......,,',/7
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(City Or Township Where
SIGNS A NAME OTHER THAN HIS OR HER OWN AS CIRCULATOR IS GUILTY OF A MISDEMEANOR.
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PRINTING SYSTEMS' TAYLOR, MI 1-800-95-12345 FORM APPROVED BY DIRECTOR OF ELECTIONS, STATE OF MICHIGAN - .
REORDER NO 401 (50 TO A PAD) REV 12/02
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