Sunteți pe pagina 1din 25
ee Bladen Bladen COPY All persons filing election protests with 8 county board of election shall use the following form: ELECTION PROTEST. (Use ofthis form is required by GS. 163-182.5(6)) ‘This form must be filed with the county bord of elections within the timeframes ston in GS, 163-1829 (by). Please pint ‘ortype your answers. Feel free to use and attach aditional sheets if needed to fully answer the questions betow. You may ‘also attach relevent exhibits and documents. Plesse number the pages of such addtional sheets and stachments Full name and malin nddres of person ling the protest eben Give cooks “EO Bex 1871 Conseil NC a8u34 logos loco, imi deal os Alo 6YF-H93% Fax U0 bis. ooo 1 Pintestas oc 4; frou ela anc wr eiget vr ie voit ise eto Hoc wh aT? on Car latin. fac lade? auc. Comair Distriek | Z Tite date, iestion, ond exact ature ofthe lection protested. Name al caeidotes in he election andthe mmber of ach receved. Note wining caniat(seeled or nominated. imasy Elechinn Dany &, dora . oe 5 Dasha profes vote nals erin Yor coi or wba? Fpl cho a RS Be abs ation {aot shcos i teens are oad Staet teaiah ereltet on dees nmap or ian pas eel ede a desorption of such misconduct or iregulaity and name thse who commited such action. Cosel babar sathoes dol abse eatles Mattel Lede desler softness Mey Necac = Yess 7, Pleas et ont al leton ls or epualons tat youallege werd vile In your responses 5 or Gabove. Satehow °° cach violation occured, Plesse provide the names, adresses, and phono numbers of those who you allege committed such Mola. & =ddo Act Mbsenter Ueting Reticle por See mteclal Therm Hise have asa oldest, and pao nambers any winesses to any misObadvel alegedby pvnihisproxen, 9 salsa ah a ie ar ve Heched Sheed 0 SE Da 7 i Siti y tr fess Oe tee? wel out By you fb sufficient to Have fected or cast doubt upon the reslis ofthe T6 Bo you cone he at protested election? If your answer ies, please slate the factual basis for your opinion.

S-ar putea să vă placă și