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					   I swear and affirm that I, _______________________ am a
lawful citizen of the United States of America, I reside
at_____________________________City of__________________
State of _________________________Zip Code ______________

As my representative, I demand and petition that a nationwide
vote be held on the first Tuesday in November in 2010.
The ballot shall have the following statement on it with a
selection box beside each. Selection of only one statement will be
allowed.

A Healthcare System modeled on the Canadian Healthcare
System shall be enacted within 2 years from the date of voter
approval.

A Healthcare System modeled on the United Kingdom
Healthcare System shall be enacted within 2 years from the date
of voter approval.

The same Healthcare benefits that United States Congress and
Senate have shall be extended to all Citizens of the United States
within 2 years from the date of voter approval

The current healthcare system shall remain unless voted upon or
changed by the Legislative body of the United States.

 ______________________Date____/____/_______ Witness_____________________________
    signature

_______________________                      Witness______________________________
    notary

				
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posted:2/22/2010
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