Voting Record Form

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  1. On the back of each registration form (or on a separate form if an alternate electronic registration system is used), there shall be printed a ten-year voting record form substantially as follows:

    VOTING RECORDName of Voter

    YEAR  PARTY General    Primary    Other

    Election    Election    Elections

    Ballot No. or  Ballot No. or  Ballot No. or

    Ballot     Ballot     Ballot

    Application   Application   Application

    Number    Number    Number

    1971

    1972

    Continued for

    remainder of

    ten (10) years

  2. The year dates printed in the first column shall be changed with each year's printing of the form.


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