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And that the

party polled at the last general election more than three (3) per cent. of the entire vote cast in said county. WITNESS our hands and seals this (Seal) Chairman (Seal) Secretary

day of

190-.
Central Committee for
Central Committee for

County.
County.

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Personally appeared before the undersigned, a notary public within and for the county of, in the State of Missouri, on the day of —, 190, who are personally known to me to be the same persons who executed the foregoing instrument, and acknowledged that they executed the same as their free act and deed.

at

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal -, Missouri, in said county, the day and year first above written. My commission expires —, 190-.

(Seal.)

Notary Public.

To be filed with the County Clerk not more than 60 and not less than 15 days before the general election.

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First Constitutional Amendment-(Authorizing counties and other municipal corporations, by a two-thirds vote, to become indebted for the purpose of grading, constructing, paving, or maintaining of paved, graveled, macadamized or rock roads and necessary bridges and culverts.)-YES.

First Constitutional Amendment-(Authorizing counties and other municipal corporations, by a two-thirds vote, to become indebted for the purpose of grading, constructing, paving, or maintaining of paved, graveled, macadamized or rock roads and necessary bridges and culverts.)-NO.

Second Constitutional Amendment (Providing for the election of sheriffs and coroners for a term of four years.)-YES.

Second Constitutional Amendment-(Providing for the election of sheriffs and coroners for a term of four years.)-NO.

For Representative in Congress:

For State Senator:

*For Representative:

For Presiding Judge County Court:

*If more than one, insert number of district.

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NOTE.-In counties where vacancies in county offices are to be filled in 1906, county clerks are required to add the names of regular nominees with a blank line under name of each nominee on regularly nominated tickets, and also to supply blank space in regular form for each of such vacancies to be filled, on all tickets of political parties having made no nomination for such vacancies.

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