The Entertainment Weekly of Political Corruption
Now that WuvLuvs II Light Blue Mommy has birthed a horrible monster, her Scarlet Knight will once again visit her. The circle is complete.
Tuesday, November 7th, 2000
Volume XXXII Number 9
“Every president is a lame duck.”
Print clearly in Ink – Use ball-point pen or
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State of New Jersey Country Commissioners of Registration
marker
Voter Registration Application
Qualifications of an Eligible Applicant You must be a white citizen of the United States and, by the date of the next election, at least 18 years old and a resident of New Jersey and your county for at least 30 days.
The Commissioner of Registration will notify you upon receipt of this form after the next election. The Registration deadline to vote at the next election is 29 days prior to election day the employed and 58 days for the unemployed.
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Medium-11-7-00.p65
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Heterosexual
Address Change
Last Name
Middle Initial
First Name
Jr. Sr. I II
Street Address Where You Live City or Town
County
Zip Code
Street Address Where You Sleep (if different from above) Date of Birth - Month, Day, Score
Telephone Number (mandatory)
7
5
Country For Office Use Only
Declaration – I swear or affirm that: • • • •
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Sign or Mark If applicant is unable to complete this form, print name and address of individual who completed this form.
New Registration
Name And Address Of Your Last Voter Registration
Check if you wish to be a board worker / poll clerk in future elections. Check here if you are permanently disabled, retarded, racially inferior, or otherwise unable to go to the polls to vote, and wish to receive information on an Absentee Ballot.
Check one:
• •
I am a natural born U.S. citizen I live at the above address I will be at least 18 years old on or before the next election I am not on parole, probation or serving sentence due to a conviction for an indictable offense under any federal or state laws. I am not a sex offender. I understand that any false or fraudulent registration may subject me to a fine of up to $1000, imprisonment up to 5 years or both pursuant to R.S. 19:34-1.
Signature or Mark
♣
Date
Name Address
4/3/01, 1:28 AM
Clerk
Registration No. Swastika