CANVASSING AUTHORITY |
TOWN OR CITY |
TEMPORARY CERTIFICATE OF REGISTRATION |
TO THE MODERATOR OR WARDEN OF REPRESENTATIVE DISTRICT |
VOTING DIST. WARD DISTRICT |
PRECINT # VOTING PLACE |
THIS IS TO CERTIFY THAT |
NAME |
ADDRESS |
IS QUALIFIED TO VOTE AT THE ELECTION |
DATE PRIMARY |
YOU ARE HEREBY DIRECTED AND AUTHORIZED TO ALLOW THE ABOVE NAMED PERSON TO VOTE AT THIS ELECTION |
CANVASSING AUTHORITY |
DATE |
VOTER MUST SIGN NAME AS IT APPEARS ABOVE |
R-32 ORIGINAL WARDEN |
CANARY BOARD OF |
CANVASSERS |
410 R.I. Code R. 410-RICR-20-00-1.8