State of Missouri, | ) |
) ss. | |
County of ______ | ) |
I, ______, being first duly sworn, say that I reside at ______ street, city of ______, county of ______, state of Missouri; that I am a qualified voter therein; that I am a candidate for nomination to the office of councilman to be voted upon at the primary election to be held on ______ Tuesday of ______, 20______, and am eligible therefor, and I hereby request that my name be printed upon the official primary ballot for nomination by primary election for such office, and that I will serve as such officer, if elected. | |
(Signed) ______________________________ | |
Subscribed and sworn to (or affirmed) before me on this ______ day of ______, 20______ | |
(Signed) ______________________________ |
Warning: Voting for more than the total number of candidates to be chosen for any one office will invalidate this ballot. |
OFFICIAL PRIMARY BALLOT |
Candidates for nomination for councilmen of ______ at primary election. |
FOR COUNCILMEN |
Vote for (number to be elected) |
[]______(Name of candidate)______ |
[]______(Name of candidate)______ |
[]______(Name of candidate)______ |
§ 78.480, RSMo
RSMo 1939 § 7082, A.L. 1978 H.B. 971, A.L. 1983 S.B. 234