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 municipal election to be held on ______ Tuesday of ______, 20______, and am eligible therefor, and I hereby request that my name be printed upon the official ballot 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 elected to any office will invalidate this ballot. |
OFFICIAL BALLOT |
Candidates for councilmen of ______ at general election. |
FOR COUNCILMEN |
Vote for (number to be elected) |
[]______(Name of candidate)______ |
[]______(Name of candidate)______ |
[]______(Name of candidate)______ |
§ 78.530, RSMo