MARICOPA COUNTY ELECTIONS DEPARTMENT

Document Sample
MARICOPA COUNTY ELECTIONS DEPARTMENT Powered By Docstoc
					                        MARICOPA COUNTY ELECTIONS DEPARTMENT
                             111 S. Third Ave., Phoenix, AZ 85003
                                         602 506 1511
                                     Notice of Voter Move

Congressional            Supervisor        Legislative
District______           District_____     District__________     Precinct_____________________________


Name             (old address)                            Street/City/Zip Code



                 (new address, if known)                  Street/City/Zip Code



Name             (old address)                            Street/City/Zip Code



                 (new address, if known)                  Street/City/Zip Code



Name             (old address)                            Street/City/Zip Code



                 (new address, if known)                  Street/City/Zip Code



Name             (old address)                            Street/City/Zip Code



                 (new address, if known)                  Street/City/Zip Code



Name             (old address)                            Street/City/Zip Code



                 (new address, if known)                  Street/City/Zip Code




                   I HEREBY VERIFY THAT THE INDIVIDUAL(S) LISTED ABOVE
                 HAVE MOVED, AND NO LONGER RESIDE AT THE ADDRESS SHOWN


_______________________________            ___________________________                  ______________
Precinct Committeeman’s Signature          Printed Name                                   Date

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:5
posted:10/4/2012
language:Latin
pages:1