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<div class=”header-top”>GUAM ELECTION COMMISSION</div>
<div class=”header-sub”>Kumision Ileksion Guåhan</div>
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2nd Floor, Suite 202 Oka Building, 241 Farenholt Avenue, Tamuning, Guam 96913<br>
Tel: (671) 477-9791 ∙ Fax: (671) 477-1895<br>
E-Mail: vote@gec.guam.gov Website: http://gec.guam.gov
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<h1>NOMINATING PETITION – SENATOR (Partisan)</h1>
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We, the undersigned, registered and qualified electors of Guam, hereby nominate <span class=”input-line”>Clifford Ray Hackett</span>
as a candidate of the <span class=”input-line”>Republican</span> Party for the office
of <strong>SENATOR</strong>, to be voted for at the Primary Election held on <span class=”input-line”>August 1</span>, 20 <span class=”input-line”>26</span>, and
we declare that we have not signed, and will not sign, any nominating petition for more persons than the number of
candidates necessary to fill such office at the next ensuing General Election.
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WARNING: Whoever knowingly signs more petitions for the same office than there are persons to be elected to the office, or
signs a name other than his own is violating the provisions of the Guam Election Code.
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<th class=”col-num”>#</th>
<th class=”col-name”>NAME (Print and Sign)</th>
<th class=”col-dob”>DATE OF BIRTH</th>
<th class=”col-addr”>ADDRESS</th>
<th class=”col-dist”>DATE OF SIGNATURE / VOTING DISTRICT</th>
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<script>
for (let i = 1; i <= 20; i++) {
document.write(`<tr><td class=”col-num”>${i}</td><td class=”col-name”><br><br></td><td class=”col-dob”></td><td class=”col-addr”></td><td class=”col-dist”></td></tr>`);
}
</script>
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<div class=”cert-title”>CIRCULATOR CERTIFICATION</div>
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The undersigned circulator of the above petition asserts that he/she is qualified to circulate this petition, that each signature on the
petition was signed at his/her presence, that to the best of his/her knowledge and belief each signature is the genuine signature of
the person purporting to sign the same and that the person was at the time of signing a registered and qualified voter of Guam,
and the such elector was qualified to sign the petition.
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<div class=”sig-box”>Printed Name of Circulator</div>
<div class=”sig-box”>Signature of Circulator</div>
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<div class=”sig-box”>Date</div>
<div class=”sig-box”>Address of Circulator</div>
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