I, ______, Chair (Acting Chair) of the ______ party nominating committee duly authorized to nominate a candidate to fill the vacancy created by the death (withdrawal, disqualification, resignation) of ______, do hereby certify that on the ______ day of ______, ______, the nominating committee met and duly selected ______ as the ______ party candidate for nomination (election) to (fill the unexpired term in) the office of ______, district ______, at the primary (general, special) election to be held on the ______ day of ______, ______. | ||
I further certify that before the meeting, each member of the nominating committee was properly notified of the time and place of the meeting, a majority vote of the members of the nominating committee were present at the meeting, and ______ was duly selected by a majority of the members present at the meeting. | ||
Subscribed and | ||
__________________ | sworn | |
Signature of chair | to before me this | |
or acting chair | ______ day of | |
______, ______ | ||
__________________ | ||
Signature of election | ||
official or notary | ||
public |
§ 115.377, RSMo