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Get CT Ed-602b 2012-2024

, CT 06115-0470, Tel. (860) 509-6100 _______________________________ (Date) Pursuant to §9-453b of the General Statutes, I hereby apply for a nominating petition for each of the following persons as candidates for the offices specified at the municipal election to be held on November 5, 2013. PLEASE TYPE OR PRINT CLEARLY Name Residence Address (incl. ZIP) Office (incl. District if applicable) The party designation of the above candidates on the petition will be: _________________________.

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