Signed................................ | |
Post office address ................ |
Subscribed and sworn to before me this... day of.......... |
(Notary Seal) | Notary Public ...................... |
Residing at ........................ |
I am accepting payment for the circulation of the foregoing petition by .... and the address of such payor is..... |
Signed................................ | |
Post office address ............... |
Subscribed and sworn to before me this... day of.......... |
(Notary Seal) | Notary Public ...................... |
Residing at ........................ |
State of Idaho | ) |
)ss. | |
County of.... | ) |
Signed................................ | |
County Clerk or Deputy. | |
(Seal of office) |
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