[SAMPLE BALLOT AND INSTRUCTIONS]

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SAMPLE BALLOT FOR POLLING PLACE ELECTION [DO NOT USE THIS FORM AS YOUR BALLOT] 1-5-407 C.R.S. No. 001 or, for Mail-in Ballots (1-8-101(2), C.R.S.)): Mail-in Ballot No. M.I.V. 001 (ONE INCH STUB) No. 001 or, for Mail-in Ballots Mail-in Ballot No. M.I.V. 001 (ONE INCH DUPLICATE STUB) OFFICIAL BALLOT FOR THE __________________________________________________________ DISTRICT REGULAR ELECTION TUESDAY, MAY 6, 2008 __________________________________________________________ (Facsimile of signature of the designated election official of the district.) To vote, place cross mark (X) in the box at the right of the name of each candidate of your choice and in the appropriate box directly following each ballot issue and ballot question. 1-5-407(2), C.R.S. Vote for not more than _____ Director(s), Four-Year Term(s) Candidate Name Candidate Name Candidate Name __________________________* Vote for not more than _____ Director(s), Two-Year Term(s)** Candidate Name Vote in the appropriate box: Ballot Issue/Ballot Question (insert text) YES NO PROCEDURAL INSTRUCTIONS: This is a sample form only. Please review use with your attorney. * Only provide a blank line for write-in candidates IF an Affidavit to be a Write-in Candidate was submitted to the office of the DEO, by the deadline, and if it was deemed sufficient. 1-5-407(3), C.R.S. ** Use only when a vacancy has been filled by appointment and the remaining unexpired portion of the vacated term must be filled by election (32-1905(2)(a)). The order of names on the ballot is established by lot drawing. Actual sample ballots provided for voters’ reference at the polling place must be a different color than the ballots that will be voted, per 1-5-413, C.R.S. Sample ballots may be copied by the election judges if they run out of official ballots and the DEO cannot provide additional official ballots in a timely manner. Division of Local Government – Department of Local Affairs – 2008 Election Revised 3/11/2008 B-28.1

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