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• • <br />TO ALL ELECTIO@~! OF~FIC~RS <br />• Gentlemen: <br />Your bill is to be made on the following form. <br />~ _ <br />CI~I~1 FOR ELECTION FEES <br />I certify that the undersigned were officers of an election held in Precinct No. /`•1~.1, <br />~ Name Position Amt. Due <br />~ ~--~. <br />1~[ ~`~ 2=~C-' Judge $ ~ ~ <br />/,~ ~,,, z L _ I~ C? :I.3?~/~~'~ , ~ ~ ~~~~`_, ~~-_ Asst. Judge $ .3 Q , b U <br />,, <br />(~(,~ ~C.~/~~J~~~L~6-f~ ~' 7 Cam( ~cCL /L~~ ~.r~c.o. 77~ 7/ Clerk $ .3 ~~ ~ L~ o <br />~~ <br />$ <br />$ <br />$ <br />Delivering Returns $ <br />TOTAL $ /, d • r ~' <br />Name of officer holding election ~''~' Sf~rliF' ~' S'e - <br />Mailing address <br />Sworn to and subscribed before me this day of 19 <br />Designated Official <br />a" 3 <br />• <br />t <br />