Cameron Lee Absentee Ballot Keyuegt
Exhib, t #2
STATE OF NEW HAMPSHIRE ~ Application for State Election Absentee Ballot
For
Official
Use Only
Voter Hot thereby dectare that (check one): .
Registered © | ama duly qualified voter who Is currently registered to vote in Unis town/ward, ow
Q 2x7 em absent from the tovny/city where 1am domiciled and will be tntif after tho next clection, of !am unable to cegister in person due ta a disability or concern for the
eg novel coronavizus (CCVID-19), and request that the forms necessary far absentee voter cegistration be sent ta me with Ihe absentee baliol,
. \ i wit be entitfed to vote by absentee halfat because (eheck ang}:
2 ( ‘plan to be absent on the day of the election rom the city, town, or unincorporated place where | am domiciled,
z I © [cannot appear in public on election day because of observance of a religious commitmant, :
' © [am unable to vate in person due toa disability.
) 0 Jam wnabie to vote in person due to concern dor the novel coronavirus (COVIO-29).
: & I cannot appear at eny time during polling hours at my polling place because of an empioyment obligation, For the purposes of this application, the term “employment”
z ! shall include the care of children and infirm adults, with or without compensation.
e \ Any person who votes or attempts te vate using an absentee ballat who §s not entitled io voto by absentee ballet shall be guilty ot a misdemeanor. ASA 657:24
es é
a3 fam requesting an official absentee ballot fer the following election: Stale General Election to be held on Noveriber 3, 2020
?
I Applicant's Name (Please Print}: ¢
a 1 .
a. [ve AMeran David
= ~! Last Name First Name 1 Middia Mame iSutlixcds., Sr., If
a 1 -
m ' Applicant's Vating Bomiche (home wns / .
G Kihdwttin. AC AlaShucn Al} O3e@s -
Bo: Seat humbet “Street tame Apt ealt CityhTows? Ward UP Code
z -! Mail the Ballot to Me at This Address {if different than tha home adores):
t
a!
gz SunelPG Sax ¥ Steet Name ‘Apuleit CityeTovm Ward BP code
Applicant's Phone ve Appiteant’s Emalt Address: @ /
babe 4 32-307F Camd. lee, YA@ Qgmatl,. tom
Cell phone of number where you can be contacted prior ta and on Elgct. elered Email address. aie A
Applicant’s Signature test that f assisted ihe applicant in executing this form because he or
The applicant must slgn this form to receive id absenive ballot. she has a disability.
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g = Signature Date Signed Sigggiure Prat Name
Exh bit Hz
Cameron lee Absen tee Ballot Kecovel.
Ansentee Ballot Search Results
voter 10 Firs Name
WOkSB32 Catetgs
Date of Birth Party Towa ortlly
Bnos2 Demberale. Nashua
entes ballet Information for this voter.
ia Lomorrow orcantact your Clerk's olfice,
€lark’s Infgnnation
SLSAN KLOVERING
nama
sheqel 1s Sig MA STREET Yao tigy
City: BaShua
Slate: tik
Zp: onda
Prone: S03-580-3050
Fax: 503-589 10S
Emad Agdrest: CIT) CLEAMOEPTANASHUANH GOY
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