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A B and CD, being severally sworn, each for himself, says the said A B is the chairman of the State Committee of the........party mentioned, and presided at the meeting described in the foregoing certificate, and that the said CD is the secretary of the State Committee of the ....... party mentioned, and acted as secretary of the meeting described in said certificate, and that said certificate and the statements therein contained are true, to the best of his knowledge and belief.

Severally subscribed and sworn to before me, this.... day of .....

.189..

}

EF,

(Notary Public or Justice of the Peace.)

A B.

C D.

NOTE.-The above form of certificate can be used in committee nominations in divisions less than a State.

(Form No. 3.)

[For filing this certificate, see section 59, chapter 680, Laws 1892.]

Nomination Certificate for any Office, when made otherwise than by a
Convention, Committee or Primary Meeting, Pursuant to Section 5.
To the Secretary of State, Albany, N. Y.:

...........

We, the undersigned, duly qualified voters of the State of New York, at a meeting held.. 189.., in accordance with the provisions of the election law, hereby make the following nomination for offices to be filled at the next ensuing election in the.

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+ If in a city, also the street and number of residence and place of business.

to represent the signers of this certificate for the purposes set forth in section 66 of chapter 680 of the Laws of 1892.

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Acknowledgment and Affidavit of each Signer to be Annexed to the

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On this......day of........189.., before me personally appeared A B, to me known to be one of the persons described in and who signed the foregoing certificate and acknowledged that he signed the same, and the said A B, being by me duly sworn, deposes and says that he is a voter in the.... in said county, and that he has truly stated his residence in his statement of his place of residence added to his said signature.

.of......

Acknowledged, subscribed and sworn to

before me, this.... day of....189..

EF,

(Notary Public, or Justice of the Peace.)

A B.

NOTE. It is not necessary that each signer should acknowledge separately. All or any number may be included in one acknowledgment and affidavit.

(Form No. 4.)

[For filing this certificate, see section 59, chapter 680, Laws 1892.]

Convention Certificate of Nomination for a Candidate Voted for by the Voters of only one County or a Portion of a County.

To the county clerk of.

.....

.. county, State of New York:

We certify that at a convention of delegates representing the..

party, held....

189.., a party which, at the

*As to the number of names to be signed to this certificate, see section 5, chapter 296, Laws of 1891.

last preceding election, polled at least one per cent of the entire vote cast in....

....

(Name, county or election division.)

for which the nomination is made, the following named persons were placed in nomination for offices to be filled at the next ensuing election:

Office to be filled. Name of the candidate.

Party or political Place of residence of principle represented. candidate.

(Name.).

....

Presiding Officer of Convention.

(Residence, city or town, street and number, if any.)

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A B and C D, being severally sworn, each for himself, says that the said A B was the presiding officer of the convention of delegates mentioned and described in the foregoing certificate, and that the said CD was the secretary of such convention, and that said certificate and the statements therein contained are true, to the best of his knowledge and belief.

Severally subscribed and sworn to before me, this........ day of................, 189..

}

EF,

(Notary Public or Justice of the Peace.)

(Form No. 5.)

[For filling this certificate, see section 59, chapter 680, Laws of 1892.]

A B.

CD.

Certificate of Nomination for a Ward, Town or Village Office.

To the (Town or City) Clerk of......

We certify that a primary meeting of the voters of the...... party, held....... 189.., a party which, at the last preceding election,

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polled at least one per cent of the entire vote cast in..

(Name of ward, town or village. }

*If in a city the street and number of his residence and place of business.

the following named persons were placed in nomination for the offices to be filled at the next ensuing election in the

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A B and C D, being severally sworn, each for himself, says that the said A B was the presiding officer of the primary meeting mentioned and described in the foregoing certificate, and that the said CD was the secretary of said primary meeting, and that said certificate and the statements therein contained are true, to the best of his knowledge and belief.

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Form of Printed Poster or List to be sent by County Clerk or City Clerk to each Town Clerk or Alderman in County or City.

[Same to be posted by Town Clerk or Alderman in election districts. Posting of same not required in any city where publication of same has been made in two or more daily papers.]

To the (Town Clerk or Alderman) of (Town of .... or.... Ward of .): Please take notice that the following named persons have been nominated as candidates for office, to be voted for at the next ensuing election to be held in your (town or ward) on 189.., as follows:

.......

If in a city, the street and number of his residence and place of business.

Name of the candidate. Place of residence.* Office to be filled.

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Party or political principle represented.

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List of Nominations to be Published by County Clerk.

To the Voters of (....... county):

The following is a true and correct list of all nominations to office certified to me pursuant to the provisions of chapter 680, of the Laws of 1892:

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(Form No. 8.)

Acceptance of Nomination.

To the Secretary of State or County Clerk of

County:

SIR. Please take notice that I accept the nomination for the office tendered me by the (convention, primary or voters) of

of

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*If in a city, the street number of residence and place of business.

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