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day.

"I further swear (or affirm) that I have not voted nor will I vote in person in the election to which this ballot pertains.

"I have marked the enclosed absentee ballot voluntarily and that I have read or had read to me and understand the instructions accompanying this ballot and that I have carefully complied with such instructions.

"Moreover, I further awear (or amrm) that all of the information given above is true and correct to the best of my knowledge and that I understand that by knowingly giving false information so as to vote illegally by absentee ballot that I shall be guilty of a misdemeanor which is punishable by a fine not to exceed $1,000 and/or confinement in the county jail for not more than six mon

of

Alma & Price

Sighitire or mark of voter.)

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19 I certify that the affant is known (or made known) to me to be the identical party he claims to be.

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have moved from Alabama less than thirty days prior to the election.
will be out of the county or the state on election day.

year

OIam physically incapacitated and will not be able to vote in person on election
day.

"I further swear (or affirm) that I have not voted nor will I vote in person in
the election to which this ballot pertains.

"I have marked the enclosed absentee ballot voluntarily and that I have read or had read to me and understand the instructions accompanying this ballot and that I have carefully complied with such instructions.

"Moreover, I further swear (or affirm) that all of the information given above is true and correct to the best of my knowledge and that I understand that by knowingly giving false information so as to vote illegally by absentee ballot that 1 shall be guilty of a misdemeanor which is punishable by a fine not to exceed $1,000 and/or confinement in the county jail for not more than six months.

of

Mary Louise Pryor

(Signature of mark of witer.)

"Note: Your signature must be witnessed by either. A notary públic or other
officer authorized to acknowledge oaths or two witnesses eighteen years

of age or older.

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19. I certify that the affiant is known (or made known) to me to be the identical party he claims to be.

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(Signature of Official)

Pryor
Pryor

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Address

Print

199

Ala 36229

zip code

In Tory IEngland
Lavern G. England
Bite. 1, Box 129
Sprott, Alo.
as

city

Address

36119

zip code

463

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