"This petition is for the purpose of requesting an election to increase the membership of the board of county commissioners from three (3) to five (5) members. If a proposition for the increase is submitted to a vote of the qualified electors of the county and a majority of those casting their ballots vote in favor of the increase, the additional offices created shall be filled at the general election held in (year).
The eligible registered electors supporting the petition and numbering not less than ten percent (10%) of the total number of votes cast at the last general election in the county for which this petition is filed, are as follows:
(Signature) | (Printed Name) | (Residence Address) | (Date) |
VERIFICATION OF CIRCULATORS
I, ....do hereby certify that I am a circulator of this petition, and I solely and personally circulated this petition, that all the signatures appearing herein were made in my presence from (month)(day), (year) through (month) (day), (year), and to the be st of my knowledge and belief such signatures are those of the persons whose names they purport to be.
________________
(Signature)
_____________________
(Residence Address)"
W.S. 18-3-501