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<br /> <br /> ? SIGNATURE Ac?;? STREET and NUMBER or R.F.D. CIT'-- ? •r COUNTY DATE of <br /> <br />; .,'M1h.q asr odAress nnJi/e wiih ihe Hoord nfL7rrrinns) ? <br />VILLAtf± 3 ? SIGNING <br /> a <br /> <br />31. i <br />=A1119-/d <br />?11 ? ? ?? T•l Z?,? ? ? ?Ya1 _???L?ii._- !/L1L? y/r?C,£/ G?7 <br /> ? <br />.r.?. ? " <br />34. <br />.7J. <br />STATE OF OHIO ) <br />CO?'Y OF CUYAI?GA) s1s: being duly s?rn according to law swears and <br />A ?0 / ?' TL Ideclares under penalry of election falsification that he resides <br />(Priotod Name of CiRUluor) <br />at th:. address appearing below his signature hereto; that he is the Firculator o the ore oin etition <br />each of which was s?t?ed ?n ?? presence <br />paper containing signatures; that he witnessed the a,?xing of every signature;?that all <br />(Number) <br />signers were to she best of his kaiowledge and helief qualified to sign; and that every signature is to the <br />best of his knowledge and belief the signature of the person wose signaturP/ff'purnJ9V%s to be. <br />SWORN 'IO BEE'ORE ME and <br />su?scrilx? in my pres::n(-e /&I day of_ ( ignature o Zir atar) <br />1991. <br />^ (Street and Numbgr or Rur Route) <br />7?r?-,? X2 <br />NOtary PllbliC L1S^, A. SCCTT <br />^:•C;??C. c, c5;o-Cuya. Cty. ity or ost e 'p e) <br />P?i? ': : ?;-• ;.....- . ?::?:res /:?:. 23, 1992 . <br />THE PENALTY FOR ELECTION FALSIRCATION IS IMPRISONYIENT <br />FOR NOT MORE THAN SIX MONTHS OR A FINE OF NOT MORE THAN $1,000, OR BOTH. <br />CERTIFICATE OF VALIDITY <br />Revised Code Section 3501.11 <br />The State of Ohio, County, ss. <br />We, the undersigned, constituting the Board of Elecrions of said County, do hereby certify that wt have reviewtd and exomin- <br />ed the faregoing Pctition and fuid the same sufficient and valid <br />IN W17NESS WHEREOF, we havt herewuo subscribed our nantes and caused ow o,?'tcial seal to be affLxed at <br />. Ohio, this day vf . 19 <br />(SF1lL) <br />Chairnran <br />:lTTEST: <br />Director <br />Boord of Elections