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1934 Register Of Voters Election District #2 Assem Dist #1
S v r I t . x , r� i a ` s This ,''is• the• ' POLL BOOR .Copy -of the Register and should be in the hands' of one ,of ' he Inspectors, on' Election' 'Day and should contain numbers :on ballo ., y ion. is .voted Election `Da and be `delivered to the Town ;Clerk after elect See'Section `z28, Election Law. { r ♦ f ' No ' n tt f �• y. �• a' i • s t ' . { , Count o . Y a , < , ` k w x Y , P KH t� h NA N, T O N-PEIR S 0 N A L , s } .e M1 a Y EGISI ER F "J TERS -a.4 , IN THE , x �+ N- , t Election District �Wir OPMZ 0 OF THE, ri Assembly Drstrtct 4 OF THE _ v . I , � ar .w • i Cify,%Village (or' Town) of ] 3 < 1934� r r � 3 t - amc` o,f Ins�aecfor r y I c s q r 'Address of Inspector , t Posfo rce, for Di f ricf .Located in ' �. 3 I , w H , I REGISTER CIF VOTERS. IN THE '-� Election District OF THE 1 Assembly District OF THE City% Villa e or Ward, g ( Town .of MADE BY THE Board of Registry of Said.�Distxict _ ; w 1934 ;1 i INSTRUCTIONS r REGISTRATION DAYS IN CITIES AND VILLAGES OF 5,000 INHABITANTS OR MORE. I First Meeting, Fourth Friday before Election. Second Meeting, Fourth Saturday before Election. Third Meeting,Third Friday before Elections Fourth -Meeting, Third Saturday before Election. .REGISTRATION DAYS IN ALL OTHER bISTRICTS. First Meeting,"Fourth Saturday before Election. Second Meeting, Third Saturday before Election. The board of inspectors of election shall also, if ordered so to do, meet on the second Saturday before the general election for the purpose of correcting the registers by adding to or striking off the name of any person pursuant to an order of the court, justice or a judge thereof as provided in section three hundred thirty-one of the Election Law. Hours of registration,see section 153 Election Law. ' y No inspector shall on any day for registration be absent during the hours fixed for registering the names of electors. IN DISTRICTS WHERE PERSONAL REGISTRATION IS NOT REQUIRED. This new register of electors combines the old register,poll books,and enrollment books heretofore used, columns 1 to 18 inclusive are the only columns used in non-personal districts. Column 1 is for the registration number which should be filled in after the last day of registraltion, commencing with the first name on Page A, and ending with the last name on Page Z, the numbers being in numerical order. Column 2 is for the enrollment number and should be filled in when the elector enrolls; if the elector enrolls at registration time each inspector places the number in his register; if he enrolls at election time each Poll Clerk places the number in his book and the inspector designated to write the names and addresses into the enrollment blanks places the number in the two other registers in his charge. Columns 3 and 4 are for the names of electors registered and the names'should be written in full and done in a plain legible hand, and the name of an elector should be on the same relative line in each book. I 1 Columns 5 and 6 are for the post office address of the elector; a voter living in a village where the streets are numbered should have his street number and name of street entered against his name; if the person presenting the name does not have that information the inspector should require him to furnish it before registering the elector. A person who lives in a country section should have the number of his R. F. D. route entered against his name; if it should be a Star Route indicate in the R. F. D. No. column by placing the letters,"S. R." in that column and indicate by number if any; the address should be plainly written. Column No. 7 is to be filled in by the Commissioners of Elections after election is over;LEAVE IT BLANK. Columns 8, 9, and 10 are to be used only at the Fall Primary for taking the poll of that election. Columns 11, 12, and 13 are to be used for election other than general or primary for taking the poll of that election. Columns 14, 15, and 16 are to be used only at the General Election for taking the poll of at election. Column.17 is for the date of the Registration of the Elector and should be filled in on the Jay the elector is registered. Column 18 is for Remarks with regard to registration,if any. The enrollment box is in the custody of the Chairman. DO NOT PLACE ANYTHING BUT THE BLANKS MARKED BY THE ELECTOR IN THE ENROLLMENT BOX. YOU HAVE NO RIGHT TO UNLOCK THAT BOX AFTER IT HAS BEEN LOCKED ON THE FIRST DAY OF REGISTRATION. Box containing enrollment blanks should be returned to Board of Elections within twenty-four hours after close of polls on election day. ENTRIES UNDER HEAD OF REMARKS. The words "to be challenged on election day shall be placed opposite the"names of persons registered if any voter shall make oath that he has reason to believe that any person on the register of voters will not be a qualified voter at the next election. When the name of a person who has signed a challenge affidavit shall be registered, the inspectors shall enter in the column headed "Remarks" on the register opposite such name the word "affidavit," giving the consecutive number printed on such affidavit. The fact that the statement filed with the inspectors by persons claiming to be persons mentioned and referred to in section one hundred and fifty-one of the Election Law is attached to register shall be noted in the register:opposite,the name of the person so enrolled. The inspectors are required to make a note upon the register of each instance in which an oath of illiteracy or physical disability is administered, and of the cause or reason assigned. Inspectors are to make a note upon the registers, opposite the names of persons enrolled or stricken off therefrom by order of court,justice or judge, of the date of such order, and the court, justice or judge issuing it, and shall certify forthwith to the officer with whom the copy of such register is filed, the change or changes made upon such register. DUTIES.AT CLOSE OF MEETINGS. At the close of each meeting the inspectors shall fill out and-sign the certificate contained in ihe'last pages of this register, and shall also detach and challenge affidavits signed by the persons challenged during the day and deliver them to the sheriff. At the close of the last day of registration the inspectors shall file the book of unused challenge affidavits with the officer from whom it was received by the inspectors. REGISTER AT ELECTIONS. The inspectors of election, at the opening of the polls of every election;`shall have in their possession the register of voters of their district for such election. No person shall vote at any election unless his name is on the register of voters of the district at which he is entitled to cast his ballot. At the close of the canvass of the votes of any election, or within twenty-four hours thereafter, the two enrollment book copies of the register of voters used by the inspectors and one poll book copy thereof shall be filed with the board of elections of the county in which the election district is located. .. The remaining Poll Book Copy of the Register must be filed with the town or city clerk. Nora.—Boards of inspectors will find in the Election Law,and the amendments thereto,authority governing their acts as a board of registry,to which attention is directed for further and more detailed instructions. i Each Column and the Certificates on the Last Page of This Book MUST be Filled Out According to Law ;: �', r . � 1 - � { i t _ I�- � .. - - {� _ { F j - I � ". 1 - .. �� i - - � i y f i Z REGISTERED AND ENROLLED VOTERS POLL 1 I To be filled in by the NAMES OF VOTERS RESIDENCE FALL PRIMARY Board of Elections � V 4 u z p f Cac o REMARKS ° C 07 w Surname Christian Name z Street,Avenue or PARTY OF ° u c R.F.D.Number ENROLLMENT ty a° °,7 Regarding challenges,oaths,assisted voters,and 1 other facts required to be recorded En �" z i ; 1 2 3 4 5 6 7 8 9 10 2 I ,C i t L I .,.„..._,�.._ ..,.., ....s__>_........,...........,nr ..:. .�..a,. .�.�,........._._m...e...._.r-,..�,. .�.,..a.r.-_s ......._...t .v..,.m..v......�......_......._...z.......-m:.�.......__ ..„_-......... i I - i ' I 1 - l ,i • i i ._ i BOOK_ GENERAL ELECTION POL BOOK 3 FOR ELECTION OTHER THAN GENERAL OR' PRIMARY ELECTION GENERAL ELECTION REGISTRATION ! 0- DATE OF REMARKS c A« REMARKS - A; REMARKS «o ' REGISTRATION cd° Regardin challenges,oaths,assisted voters,and other facts �' o Regarding challenges,oaths,assisted voters,and other facts Regarding challenges,oaths,and other matters required to o� H g b o� re aired to be recor led be recorded on a day of registration c.v 6. c required to be recorded o w q z v G z Z° Z'^" 11 12 13 14 15 16 17 1� iI I � r i j I REGISTERED AND ENROLLED VOTERS POLL w To be filled in by the NAMES OF VOTERS RESIDENCE Board of Elections FALL PRIMARY iy � a ' Z Z A' r u Y o REMARKS u Street,Avenue or PARTY OF �$ Wo Surname Christian Name Z D. R.F. Number ENROLLMENT e c w u o d op Regarding challenges,oaths,assisted voters,and 0 o w z other facts required to be recorded Z' 1 2 4 5 6 .7 8 9; lollz i i i i I I I , I i i I f iI� i I i I I I BOOK GENERAL ELECTION POLL BOOK .. FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION � REGISTRATION PRIMARY ELECTION A« o I REMARKS A°. o REMARKS DATE OF REMARKS ^; ^; REGISTRATION u Regarding challenges,oaths,and other matters reg4fed o` a° Regarding challenges,oaths,assisted voters,and other facts a o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration u °� required to be recorded a u °� required to be recorded d z 17 18 11 12 13 14 15 16` i II s 1 c i r 6 REGISTERED AND ENROLLED VOTERS POLL To be filled in by the NAMES OF VOTERS RESIDENCE ( Board of Elections FALL PRIMARY u r z ,1 A� . REMARKS o p _.. - 4 - Surname Christian Name z Street,Avenue or PARTY OF A o v —'o R.F.D.Number ENROLLMENT �" =c Fn o,d o> Regarding challenges,oaths,assisted voters,and P W v c other facts required to be Recorded w z.^ z 2 3 4 5 6 7 8 9 10 r I 1 i _ - - i _ - $ j I I J 1 { i I , f I t I + f , a � I i . BOOK GENERAL ELECTION POLL BOOK 7 FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION A_ PRIMARY ELECTION . REMARKS A« o REMARKS DATE OF REMARKS oD c7 REGISTRATION co o W 4 u p g q Regarding challenges,oaths,and other matters required to 0 C° Regarding challenges,oaths,assisted voters;and other facts �� a o Regardingchallenges,oaths,assisted voters,and other facts be recorded on a day of registration a v °� required to be recorded b °> required to be recorded °u °u o off_ Z d Z , Z= Z� 11 12 13 14 15 16 17! 18 i �I i i 4 a REGISTERED AND ENROLLED "VOTERS POLL NAMES OF VOTERS RESIDENCE To be filled 3n by the FALL PRIMARY Board of Elections Z o ; A + o REMARKS Surname Christian Name z Street,Avenue or ' PARTY OF A o v ; c I R.F.D.Number i ANROLLMENT - W a o u p u } 1-0 N o� Regarding challenges,oaths,assisted vdters,`and KY W s ! c d other facts required tq be recorded . 1 ! p z Z j 10 p� q 21 CeQ 147 1 1 k , 1 i s 1 a ; i � 2 { 1 : Y O . . I t 3 P, i i 1 . a 1 . i BOOK GENERAL ELECTION POLL BOOK 9 j ! FOR ELECTION OTHER THAN GENERAL OR PRIMARY ELECTION GENERAL ELECTION, ( REGISTRATION6. { A o ( REMARKS A« o RESSAR$S DATE OF REMARKS oD m F o; REGISTRATION l cc w$ Regarding challenges,oaths,and other matterp require** 00 Regarding challenges,oaths,assisted voters,and other facts a o : Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration y c u, 0> required to be recorded - o� - °> s required to be recorded g Z 11 r 12 1 14 15 16 17 18 i i a Ie3 Lt A G 41 1 f i ii s { r 1 ' r3 j a i�z i i 10 REGISTERED AND ENROLLED VOTERS POLL_ To be a NAMES OF VOTERS RESIDENCEY FALL PRIMARY` Board of in ie I' {. " Z o REMARKS a Street,Avenue or 'PARTY OF o �� Surname Christian Name Z c R.F.D.Number ENROLLMENT o a c a W u o o J ' Regarding challenges,oaths,assisted voters,and w „ other facts required to be recorded Z'— Z 1 2 3 4 5 6 .�: 7 8 9` 10 Cam"- a O ' —Aa A? u , 5 3 ,, 3 CA /y A, 4 _ 1 i I I I j - {I e BOOK GENERAL ELECTION POLL BOOK i l FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION Gw A o �° REMARKS A P o REMARKS DATE OF REMARKS oD -4� c� REGISTRATION b r ° Re ardin challenges,es,oaths,assisted voters,and other facts p o Regarding challenges,oaths,assisted voters,and other facts Regarding challenges,oaths,and other matters required to f a u °> g g g d °� re aired to be recorded be recorded on a day of registration °, c required to be recorded c q z� Z^ 11 12 13 `14 15 16 17 18 I a . i 1 a a. i i 2 REGISTERED AND ENROLLED VOTERS POLL , t To be filled in by the 'f tNAMES OF VOTERS RESIDENCE Board of Elections FALL PRIMARY z REMARKS _ a o _ _ �� �. i, i Street..D venue or PARTY OF .. pq v r Surname Christian Name Z « „R. D.Number ENROLLMENT •d a c m o a„ o> Regarding challenges,oaths,assisted voters,land a W w c 6 other facts required to be recorded z 10 ' i i I C i t BOOK GENERAL ELECTION POLL BOOK - s FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION I Lao_ o I REMARKS. ta« o REMARKS DATE OF REMARKS cD I o; p REGISTRATION p� fib ' °allo Regarding challenges,oaths,and other matters required'ta ° Regarding challenges,oaths,assisted voters,and other.facts Mz r o Regarding challenges,oaths,assisted voters,and other-facts be recorded on a day of registration c u, °> required to be recorded a u ° required to be recorded Y t 11 12 13 14 15 16 17 . 18` i i I I i i i i ,....yes -. ._.�e®_e_�.�.,��.az......®d,�e�...r...a... .,......v.....,..s�.. ._..._„�:-�..........�...��-. .�._....._.....�_..., ..,.....®...,.�....�..�.e..`... 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" TOLL ` i w . To be filled in by the _ u - NAMES OF VOTERS -RESIDENCE . t1RY' a Board of Elections FAIL PRIM -.. fi Z a vw q 'l. q o o REMARBSi y . Y°,> 6 fi Surname j Christian Name, Z , Street, or PARTY OF -0$ p y ENROLLMENT., h ,R.F.� •Number � Regarding challenges,oaths,assisted voters,and a W .v °v other facts required to be recorded m z* z 1 2 4 5 6 8 9 ' 10 S r _ I i r { 1 i { I i 1 { BOOK GENERAL ELECTION POLL BOOK 17 FOR ELECTION OTHER THAN GENERAL OR REGISTRATION PRIMARY ELECTION GENERAL ELECTION DATE OF _ ... . _ REMARKS A o REMARKS A 2 o REMARKS ! o REGISTRATION 09 ccd 0> p y' co Regarding challenges,oaths,and other matters requ;red to c° Regarding challenges,oaths,assisted voters,and other facts c� Regarding challenrequired oaths fo belrecorded sted rs,and other facts be recorded on a day of registration rd� required to be recorded 0 0 ,z 11 12 13_ 14 15 , 16 17 1 g' /I C- /3 I s � a LJ 1 i k , f i i s i 4 t ` E { t 18 REGISTERED AND ENROLLED VOTERS POLL u _ NAMES OF VOTERS RESIDENCE To be filled in by theBoard of Elections FALL PRIMARY z z� I u u a a A o REMARKS g �>cd a ! Surname Christian Name Z Street,Avenue or PARTY OF ° u ^o R.F.D.Number ENROLLMENT �. q o w ; a u o� Regarding challenges,oaths,assisted voters,and °u c other facts required to be recorded V] CS> z 1 2 3 4 5 6 7 8 9 10 E l i �w��.. - -.®..�v...�.�e..s��.es� �.�.......�..... m_��.��....��e.�..,��® ��. �..._.�� �.m.. .�s.�.e. ...a.�.�.e .�, .�.... a.es....m..e...�.n....m.......�.��....ea.....�.�.v..�..�......�...........�........... �e.er_ BOOK GENERAL ELECTION POLL BOOK 19 FOR ELECTION OTHER THAN GENERAL OR PRIMARY ELECTION GENERAL ELECTION REGISTRATION Ac o REMARKS Gc o REMARKS DATE OF REMARKS REGISTRATION ^� pro , p 4 o m q o Regarding challenges,oaths,assisted voters,and other facts Regarding challenges,oaths,and other matters required to Re ardin challen es,oaths,assisted voters,and other facts be recorded on a day of registration a v °� g g required to be recorded a'v °� required to be recorded Ya z o� z z - z� 1 11 12 ' 13 14 15 16 17 1{ Q _.._..._.m.� ..v„. .m,.«.a_e... ._.�..._...4.e...,.,...<_._�._...�.__«__�..m_._ ...�_.__._.a.__.�....,__.......m .�_._..�. ......�«.®... .-..._....."....._...._.�.�_e._..._...�...�....._._.._.._....®.._.___.......................,..................._........,,._.. .........._,.e....s�....,.�.....a_«_.�......�...<. ._�"_�..._....� -.<........�..._.-_.m..,.._.....�._......._..........u...®.t.........®.r,._.....,..._I a I � � 4 j z f I I 's f + j S i f I' F I I 1 f I i 1 I i , 20'� REGISTERED AND ENROLLED VOTERS POLL w w To be filled in by the NAMES OF VOTERS RESIDENCE Board of Elections FALL PRIMARY `ti RA-TI,.JSI p A o o REMARKS n i y 6 s% isr a. d o,>, tilt Surname Christian Name z Street,Avenue or PARTY OF m o v b Lv,. R.F.D.Number ENROLLMENT- �b a° p u o,7 Regarding challenges,oaths,assisted voters,and d other facts required to be recorded Z'^" z 9 10 UP 35 F E I 1; i i � f a Y {{i I i 4 Y, i : f I 1 i 4 P 1 � • i BOOK GENERAL ELECTION POLL BOOKZG� FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION;, PRIMARY ELECTION A« A REMARKS o REMARKS « o DATE OF REMARKS . c9 p> REGISTRATION W 0 o o Regarding challenges,oaths,assisted voters,and other facts Pa a o Regarding challenges,oaths,assisted voters,and other facts Regarding challenges,oaths,and other matters required to d �> d c> required to be recorded be recorded on a day of registration c w required to be recorded c q c• Z d� Z v. .. 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Z 1 2 3 4 5 6 7 8 9 10 ; I i I r I I r � ` f I I. I . i i i t, i I BOOK GENERAL ELECTION POLL BOOK 23 FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION A; o REMARKS G« o REMARKS DATE OF REMARKS c� o REGISTRATION Regarding challenges,oaths,and other matters required to p. c Regarding challenges,oaths,assisted voters,and other facts p Y z o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration o v °> required to be recorded C u °� required to be recorded Y g d� Z o� ° u Z^- Z^ Z 11 12 13 14 15 16 17 18 j a r C � I 24 REGISTERED AND ENROLLED VOTERS POLL v To be filled in by the a ° NAMES OF VOTERS RESIDENCE FALL PRIMARY Board of Elections a z w u _ e Z A> REMARKS m w Surname Christian Name z Street,Avenue or PARTY OF R.F.D.Number ENROLLMENT .0 s° ro ° Regarding challenges,oaths assisted voters and a'eo u � S g B , c other facts required to be recorded z* z 1 2 4 5 6 7 9 10 i i i � m r i Y s� I BOOK GENERAL ELECTION POLL BOOK 25 FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION A o o REMARKS AS o REMARKS DATE OF REMARKS ^, REGISTRATION o v u o v Regarding challenges,oaths,and other matters required to a° Regarding challenges,oaths,assisted voters,and other facts Ca Y a o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration v c> a v off. required to be recorded o c required to be recorded o c 6> .z d z z— - 11 12 13 114 15 16 17 18 I j i 1 . y i 26 REGISTERED AND„ENROLLED VOTERS POLL i To be filled in by the ~ Board of Elections FALL PRIMARY Z NAMES OF VOTERS I RESIDENCE p 1 a ~ ij c z S A o o REMARKS v -0> Surname Christian Name z Street,Avenue or PARTY OF 'o b R.F.D.Number ENROLLMENT o °0 v o> Regarding challenges,oaths,assisted voters,and other facts required to be recorded rn Z—"� Z 1 2 3 4 5 6 7 8 9 10 i d i I i I _d ..�_».._.,._.....�..�... ._ _ _.._.t:._-...�..,_....-. _. .,__.. ...gym, .........,......__� _, ..........- s ��j BOOK GENERAL ELECTION POLL BOOK 27 FOR ELECTION OTHER THAN GENERAL OR REGISTRATION PRIMARY ELECTION GENERAL ELECTION A o o REMARKS A� o REMARKS DATE OF REMARKS 0 REGISTRATION 0> 10 0> a ro o p v n o F7 Regarding challenges,oaths,and other matters required to ` o Regarding challenges,oaths,assisted voters,and other facts � a o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration u 'O>- ,- _ -required to be recorded.. ab„ o� required to be recorded - o v .. c o c - o Z z� Z^ 11 12 13 14 15 16 17 18 i i I I I I i , I t e I i i i � f y � I, I i . I 28 REGISTERED AND ENROLLED VOTERS POLL . u NAMES,OF VOTERS RESIDENCE To be filled in by the FALL PRIMARY Board of Elections Z Z 8w u A REMARKS a r° h `Surname ' Christian Name z Street,Avenue or PARTY OF ° v m R.F.D.Number ENROLLMENT "�Y C c n,d 0,> Regarding challenges,oaths,assisted voters,and w °u c other facts required to be recorded z� z 1 2 4 5 6 7 8 9 10 -->t't& 1 4 I 1 I i J a y BOOK GENERAL ELECTION POLL BOOK 29 FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION PE o A«' o REMARKS DATE OF REMARKS REMARKS o -- o .- REGISTRATION ^7 ro 07 ro p o W"' o Regarding challenges,oaths;assisted voters,and other facts Regarding challenges,oaths,and other matters required to _ Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration a v °� required to be recorded > u °> required to be recorded o� c ou c off . Z 6� Z Z' Z 11 12 13 14 15 16 17 18 . i /r/ /o m®.i f i i i y , i C i I _ I y I i 30 REGISTERED AND ENROLLED VOTERS POLL w To be filled in by the NAMES OF VOTERS RESIDENCE Board of Elections FALL PRIMARY z u Lao � o REMARKS Surname Christian Name �� Street,Avenue or PARTY OF M. y R.F.D.Number ENROLLMENT ' co Regarding challenges,oaths,assisted voters,and ,� c other facts required to be recorded Z' Z 1 2 4 5 6 7 8 9 10 b P i 4 Y i it I -------------- BOOK GENERAL ELECTION POLL BOOK 31, FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION A° o REMARKS A« o REMARKS DATE OF REMARKS o - o — REGISTRATION �> 6 q Regarding challenges;oaths,and other matters required to 00 Regarding challenges,oaths,assisted voters,and otherfacts a c Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration e> t ba 0>required to be recorded required to be recorded Y re g 6. z d 7 . Z= 11 12 13 .14 15 16 17 18 a j I f i it I I I : III I j 32 REGISTERED AND ENROLLED VOTERS POLL v u' NAMES'OF VOTERS RESIDENCE To be fined in by the FALL PRIMARY Board of Elections a a u w [ z n A a �. REMARKS Surname Christian Name z Street,Avenue or PARTY OF 2o v R.F.D.Number ENROLLMENT d o u H 0. o> Regarding challenges,oaths,assisted voters,and W v c other facts required to be recorded o> In Z 1 2 4 5 6 7 8 9 10 i I I d I BOOK _ GENERAL ELECTION POLL BOOK 33 FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION Ac "o REMARKS Ac o REMARKS DATE REGISTRATION REMARKS REGISTRATION 0> i o u o w Regarding challenges,oaths,and other matteris required to PQ.o c0 Regarding challenges,oaths,assisted voters,and other facts Pa� V. Regarding challenges,oaths, ssistbe o d drs,and other facts be recorded on a day of registration c N required to be recorded ired 0. 60 Z Z^ Z - z 11 12 13 14 15 16 17 18 0 i s s i i 1 34 REGISTERED AND ENROLLED VOTERS' POLL To be filled in I b the- NAMES OF VOTERS RESIDENCE _ Board of Elections FALL PRIMARY U 4 F z a A o Y° REMARKS Surname Christian Name z Street,Avenue or PARTY OF G Pa y c R.F.D.Number ENROLLMENT a o 'fie u c v o> Regarding challenges,oaths,assisted voters,and lCj o y c other facts required to be.recorded z:. 1 2 3 4 5 6 7 8 9 10 10 4- 1 i E aYa!u n �:Yyttt:M^i u..wxt* Wf .^t'nYYf+rn+�x4.4� j G A RY - i r 9 t 1 BOOK GENERAL ELECTION POLL BOOK 35 FOR ELECTION ARYE ELTHA ECT GENERAL OR GENERAL ELECTION REGISTRATION — AV o REMARKS AB ,o REMARKS DATE OF REMARKS ^, REGISTRATION 09. ryj 4 o W° p o Regarding challenges,oaths,assisted voters,and other facts Regarding challenges,oaths,and other matters required to Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration v °> required to be recorded a v °� required to be recorded d> z d> z z - z^ 11 12 13 ' 14 15 16 17 18 ------------- � ra ;Y i y i r ` li 36 REGISTERED AND ENROLLED VOTERS POLL $ I NAMES"OF VOTERS RESIDENCE To be filled in by the Board of Elections FALL PRIMARY z i o A c REMARKS i Surname .Christian Name z Street,Avenue or PARTY OF ° R.F.D.Number ENROLLMENT o p o 93 a e„ °> Regarding challenges,oaths,assisted voters,and oz other facts required to be recorded 5 6 7 g 9 10 w Ii I i i 1 i I i . f I If 5 I I I • I M i BOOK GENERAL ELECTION POLL BOOK 3 FOR ELECTION OTAER'THAN GENERAL OR GENERAL ELECTION REGISTRATION - PRIMARY ELECTION « o REMARKS DATE OF - REMARKS REMARKS A REGISTRATION Regarding challenges,oaths,and other matters required to u° Regarding challenges,oaths,assisted voters,and other facts P r o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration c u °� required to be recorded required to be recorded Y Z' 11 12 13 14 15 16 17 18 i i I i r 38 REGISTERED AND ENROLLED VOTERS POLL To be filled in by the NAMES OF VOTERS RESIDENCE Board of Elections FALL PRIMARY Z A Street,Avenue c ° REMARKS 3 Surname Christian Name Z ree, veu of .. � t PARTY OF �$ .. a c' R.F.D.Number ENROLLMENT d c W c o> Regarding challenges,oaths,assisted voters,and y 6 other facts required to be recorded rn z,> Z 1 Z 3 4 5 6 7 8 9 10 hl f74 cz� a c7z, i / 2 �^ 2-3 / 5� C i - t c I Z I 4 BOOK GENERAL ELECTION POLL BOOK 39, FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION A«. ° REMARKS G« o REMARKS - DATE OF _ REMARKS 0> 0,0 u 0> °, g g REGISTRATION g g q r m o of° Regardin challenges,es,oaths,and other matters re uired to " ° Regarding challenges,oaths,assisted voters,and other facts o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration ti °� ti °9 required to be recorded o a required to be recorded c w c q z. 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Z- d> Z - Z- Z� 11 12 1 13 14 15 16 17 1s Sx �- �- /e 1i /3 ol O-� 2 4 // 2d j i �© i I 80 REGISTERED AND ENROLLED VOTERS POLL " To be filled in by the NAMES OF VOTERS RESIDENCE FALL PRIMARY Board of Elections z °o Z _ a Ac REMARKS co ] Street,Avenue or PARTY OF Surname Christian Name '� R.F.D.Number ENROLLMENT Y a o Fa .o v o> Regarding challenges,oaths,assisted voters,and a other facts required to be recorded w z� ', i °> Z 3 4 5 j 6 7 8 9 10 E BOOK GENERAL ELECTION POLL BOOK 81 FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION A' o REMARKS A+�°' o REMARKS DATE OF REMARKS 0; pro �� REGISTRATION W ° Regarding challenges,oaths,assisted voters,and other facts `� �o Regarding challenges,oaths,assisted voters,and other facts Regarding challenges,oaths,and other matters required to c c� g g g p v 0> required to be recorded be recorded on a day of registration c i c required to be recorded G wc 11 12 13 14 15 16 17 18 i i j 82 REGISTERED AND ENROLLED VOTERS POLL a o NAMES OF VOTERS RESIDENCE To be filled in by the FALL PRIMARY Board of Elections REMARKS Y Surname Christian Name Z Street,Avenue or PARTY OFId o v a R.F.D.Number ENROLLMENT Pab F o p d o�> Regarding challenges,oaths,assisted voters,and other facts required to be recorded En d> z z� 1 2 3 4 5 6 7 9 1® i r I I } L i • I • i BOOK GENERAL ELECTION POLL BOOK ' 83 FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION Go o REMARKS Ate° o REMARKS DATE OF REMARKS o REGISTRATION 0> r o9 a b - v q u Regarding challenges,oaths,and other matters required to o Regarding challenges,oaths,assisted voters,and other facts a o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration o� °� required to be recorded c v °�, required to be recorded o> Z o> Z Z= 11 12 13 14 15 16 17 18 Q .. «..®e.._._.e,..�...,.a._.e�e�:,e.-�va=..�...�....-�.s..s..v.�.. �.«._�. ...�v» Ae._�_..-....� � ��...�...�m®..-«....._.«......�.,.:_....._e...,._.._..m. e_.m..�.o,..«, .Y...«.....�.®...._ ®.�.,.....,..s......._.�...M.._�........._.._...._.s._.... .._...._......._�...._..��...._..�.e....-.._..«.:� =84 - REGISTERED AND ENROLLED VOTERS POLL To be filled in b th o v NAMES OF VOTERS RESIDENCE Y e FALL PRIMARY Board of Elections �w a Z a A o -° REMARKS Y ^� w Street,Avenue or PARTY OF o z p Surname Christian Name If o R.F.D.Number ENROLLMENT M-0 a o 0 c op Regarding challenges,baths,assisted voters,and W „ u d other facts required to be recorded z� z 5 6 7 8 9 10 C BOOK GENERAL ELECTION POLL BOOK 85 FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION I G P o REMARKS A P o REMARKS DATE OF REMARKS i 07 07 REGISTRATION 0 ., p Regarding challenges,oaths,and other matters required to ° Regarding challenges,oaths,assisted voters,and other facts m« a o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration °� °> required to be recorded a °> required to be recorded Y °u d q °u d - d� Z o> Z Z^ Z^ 11 12 13 14 15 16 17 18 i ti ,I . 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FAa c m Q a 0 7 Regarding challenges,oaths,assisted voters,and u a �. a, W „ c other facts required to be recorded in Z Z 1 2 3 4 5 6 7 8 9 t0 I, i i i I I" i i BOOK GENERAL ELECTION POLL BOOK 97, , FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION •PRIMARY ELECTION , A« o REMARKS A« o REMARKS DATE OF REMARKS > ^> m o r o = REGISTRATION _ m o p v Regarding challenges,oaths,and other matters required to 1 M,d. ct Regarding challenges,oaths,assisted voters,and other facts � c 9 Regarding challenges,oatredhs, assisted be otters,and other facts be recorded on a day of registration c w o required to be recorded o d cy . 7 c> Z . 11 12 13 14 15 16 17 18 i f a a 'i 3 i 98 REGISTERED AND ENROLLED VOTERS POLL in NAMES OF VOTERS ` RESIDENCE To be filled Board of Elections by the FALL PRIMARY HQ L i ° REMARKS ° Surname Christian Name ' .� ' Street,Avenueor PARTY OF �� abi R.F.D.Number ENROLLMENT a c H o w 0,7 Regarding challenges,oaths,assisted voters,and W y V d other facts required to be'recorded i 1 2 3 4 5 6 7 8 . 9 10 l - r i i i BOOK GENERAL ELECTION POLL BOOK FOR ELECTION OTHER THAN GENERAL OR PRIMARY ELECTION GENERAL ELECTION REGISTRATION u " ," « DATE OF REMARKS j ° REMARKS G« o REMARKS 09 o; REGISTRATION Regarding challenges,oaths,and other matters required to C° Regarding challenges,oaths,assisted voters,and other facts a o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration IV °� - required to be recorded a v °> required to be recorded Y gi o u c o o> Z o> Z Z Z� 11 , 12 13 14 15 16 17 1� 1J i 1 i 100 REGISTERED AND ENROLLED VOTERS "' POLL T*be filled in by the a NAMES OF VOTERS RESIDENCE Board of Elections FALL PRIMARY i? c q REMARKS Street,Avenue or PARTY OF roe v w Surname Christian Name z co R.Ti.D.Number ENROLLMENT ~ w o> Regarding challenges,Bathe,assisted voters,and ,S0 a C,�, c other facts required to be recorded [U Z- 1 2 3 4 5 6 7 8 9 1® 10 2, ° 2- 1 3 2, 2, �-' _vim �n-c�zr-cQi ,3 2. 3 �3 2- 1/ �- ` BOOK GENERAL ELECTION POLL BOOK 101 FOR ELECTION OTHER THAN GENERAL OR PRIMARY ELECTION GENERAL ELECTION REGISTRATION I 0u~ REMARKS A« o REMARKS DATE OF REMARKS u 7 � �; mb REGISTRATION v Regarding challenges, o a' Regarding challenges,oaths,assisted voters,and other facts y a o Regarding challenges,oaths,assisted voters,and other facts g g ges,oaths,and other matters required to ti o> d 07 re aired to be recorded be recorded on a day of registration c required to be recorded c q f o p - v m z z= 11 12 13 14 15 16 17 18 2 0 2 ®,c�. /3 1 I i 3 a a I I -,I ,AT. 102 REGISTERED AND ENROLLED VOTERS - POLL NAMES OF VOTERS RESIDENCE To be filled in by the FALL PRIMARY a Board of Elections a � Z `/�� w A„ o '. �o REMARKS Surname Christian Name 'd Street,Avenue or PARTY OF c v b R.F.D.Number ENROLLMENT Y go w w n v o,7 Regarding challenges,oaths,assisted voters,and u r w u c other facts required to be recorded z z:. 1 2 3 4 5 6 7 8 9 10 + BOOK GENERAL ELECTION POLL BOOK 103 FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTI02d REGISTRATION PRIMARY ELECTION A c o RFMARKS A o REMARKS DATE OF REMARKS 0 7 REGISTRATION n pq ° Regarding challenges,oaths,assisted voters,and other facts mv a o Regarding challenges,oaths,assisted voters,and other facts Regarding challenges,oaths,and other matters required to c v °> required to be recorded c °> required to be recorded be recorded on a day of registration 11 12 13 14 15 16 17 18 j _ f i kE 104 REGISTERED AND ENROLLED VOTERS POLL v To be filled in by the ;NAMES OF VOTERS RESIDENCE Board of Elections FALL PRIMARY z z f a Ay .. o REMARKS ff o Surname Christian Name z Street,Avenue or PARTY OF ° v f o R.F.D.Number ENROLLMENT Y ' go ` 6s p u C> Regarding challenges,oaths,assisted voters,and a W other facts required to be recorded in Z z 1 2 3 4 5 6 7 8 9 10 1 ti BOOK GENERAL ELECTION POLL BOOK 105 I FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION PRIMARY ELECTION A c _o REMARKS A« o REMARKS DATE OF REMARKS 0 09 REGISTRATION Regarding challenges,oaths,and other matters required to Rab c° Regarding challenges,oaths,assisted voters,and other facts M r °o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration 0 u required to be recorded o ab, ° required to be recorded Y g O M.. 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DATE OF REMARKS A o REMARKS AN o REMARKS REGISTRATION 01 Regarding challenges,oaths,and other matters required to Regarding challenges,oaths,assisted voters,and other factsa c Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration 0 0> g g I'd 07 required to be recorded c.v c required to be recorded o v d 11 12 13` 14 15 1 7 18 E 16 t �t O' l 1 � ' f r t r r � j 1 j i i i 4 r REGISTERED AND ENROLLED VOTERS POLL - E To be filled in by the Board - ' NAMES OF VOTERS RESIDENCE of Elections FALL PRIMARY z z t A c o REMARKS •'^ ' Surname'' Christian Name z Street,Avenue or PARTY OF �o" ° o 4 R.F.D.Number ENROLLMENT b t o 60 u d v q> Regarding challenges,oaths,assisted voters;and other facts required to be recorded In d o .� g 9 10 i t ,r i t i BOOK GENERAL ELECTION POLL BOOK .12 FOR ELECTION OTHER THAN GENERAL OR GENERAL ELECTION REGISTRATION ' PRIMARY ELECTION g Ao o REMARKS A o REMARKS RE DATE OF REMARKS o REGISTRATION u p Regarding challenges,oaths,and other'matters required to r° Regarding challenges,oaths,assisted voters,and other facts o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration d 0D q 09 required to be recorded a w required to be recorded c w oy z _. d> z Z.— Z^ 11 12 13 14 15 16 17 18 1 l , P , 122 REGISTERED AND ENROLLED VOTERS POLL s a NAMES OF VOTERS t RESIDENCE To be filled is by the FALL PRIMARY a .Board of Elections z z °v a ° Street,Avenue or PARTY OF A Y �' EMARBS p - o� ° R Surname Christian Name z m o R.F.D.Number ENROLLMENT q o o� Regarding challenges,oaths,assisted voters,and other facts required to be recorded '> z to z 1 2 3 4 5 6 7' g 9 10 i ;y t t BOOK GENERAL ELECTION POLL BOOK 123 FOR ELECTION OTHER THAN GENERAL OR PRIMARY ELECTION GENERAL ELECTION REGISTRATION ' w DATE OF REMARKS A c o REMARKS G c o REMARKS REGISTRATION °7 q b a o a o v Regarding challenges,oaths,and other matters required to c° Regarding challenges,oaths,assisted voters,and other facts a o Regarding challenges,oaths,assisted voters,and other facts be recorded on a day of registration b o,7 v o - required to be recorded c required to be recorded C. z= z� 11 12 13 14 15 16 17 18 i I i i t �,,_ i _ _ I, t i f i �I C ,� _. �: _ _ � i Inspectors should fill out all certificates. Registry, Board Certificates for Election Districts. w ? FIRST DAY'S REGISTRY CERTIFICATE. (Write In the number) e�14t to to (g!'xtt lf, That the foregoing register as it now is, comprising. '!f!� „.„._ . ._ . „.„„ ... ._..c?.......�-.( ..,'�..`,,, names is a true and correct register of the names and residences of all the voters qualified to vote at the next election in this election rict, who have personally applied for regis- tration, or whose rjames the board was required by law to place thereon. 6 j Dated,_'E_ .„...„_....__.._...>�„�.'�..��...!�...„„_., 1934 ........ ..e-49 _.....„.._ d Registry Board. _.. „.e „... ........„ .........._...._ u-�2'�_...Election District,....._.....„ -r-4cf .....::...Assembly District,..:.:.:....__ _ ..........w:»»:.Ward, City, Village or Town of-.� � ... .: SECOND DAY'S REGISTRY CERTIFICATE. / (Write in the number)• (94to is to (Ltxtif 1, That the foregoing register as it now is, comprising�Q-„ .rK-s� �rt'��. _.. ........ .... ames, is a true and i correct register of the names and residences of all the voters qualified to vote at the next election in this election district, who av erso ally applied for regis- tration, or whose names the board was required by law to place thereon. zo Dated Q l 1934 . . ........< . ..�...... Registry Board. :�.. . ........ _ ........... ......... Xa -° Election District,...._ . � _:..... ..Assembly District,......:....__. :. „... .. Ward,City, Village or Town of ......... � .e-�` _..... r0 *This number should include all names registered INSPECTORS' CERTIFICATE INSPECTORS' CERTIFICATE FALL PRIMARY Election other than General or Primary 0 io to to Ter if that the foregoing poll book contains a true e01 to to to TrMf , that the foregoing poll book �� � �� � g � g p contains a true and correct list, pursuant to law, of voters voting or offering to vote in the and correct list, pursuant to law, of voters voting or offering to vote in the ._.„. ...........Election District,.._ „._„. „..„.„Ward _. „„ „ Election District,_ . ...„ .....„„„ .„..„ . ..Ward of the_ :_ ___ „ . _„ ._ _.„ .(Town or City) of..„................„.............„_..................... of the. ....„„„„„ „„. __ . „.. „»„... _ ..»(Town or City) of. in the County of__......._._._._......._.._......_................... „ ..-;-at the Primary Election held in the County of... ....._..... _......... ......... ......... ............ at the Election held on .................. .... on.._.„...„_„.„..................._..................„......._ N. Y. Dated ...„.._.....__._.... ..__» .„ „„ .„„:. „., N Y i ....._....„_............... _.__._ ._.„. ..........................................._...................-- ......-..µ....„ .. ..............._.........._ ........ Inspectors o Election Inspectors of Election CERTIFICATE OF INSPECTORS' CERTIFICATE CENTRAL REGISTRATION BOARD GENERAL ELECTION We, the .undersigned, members of the Central Registration Board, do 0114tts to to Tllettif1j, that the foregoing poll-book contains atrue hereby certify that this register is a true and correct register of the persons and correct list, pursuant to law, of voters voting or offering to vote in the registered by such board in this election district, that the persons shown by / „ --?';„a?L. ...-Election District,.....„..... __.....„ __ _Ward this register are the only persons who registered centrally in person, as voters, and that each voter who applied personally was 'given or tendered of the_ „....„ .„ `..__......._._.._.(Town or City) of „ - ... .. ... an enrollment blank. in the County of .._ , at the General Election held The number of the last enrollment blank used is..„.„. .................................. „ ._„._...„„ _. ........ Dated..... .„_..„..e- _ „..„., N. Y. _ Members of Central Registration Board. - _„� � ° „ Dated September.....„...................., 1934 �SI spectors of Electio i r 1 i 1 CERTIFICATE FOR TOWNS ONLY _CERTIFICATE OF ENROLLMENT,BY INSPECTORS,WHERE REGISTRATION ,IS NOT ERSONAL. We, the undersigned, Inspectors of Election of the. 'J «- Cr..:o election district of the town of do severally certify,and declare,pursuant to the provisions of the Election Law,that the number on the last enrollment blank-*used on the first day of registration was....».0.......« and that there were enrolleed^on said first day of registration.. . _.._.persons as shown by the registers of the district. t 4 Dated«„......» .« »»_ t�-lr »». ..e..���J�» »»..«.„«.» »»«.. «, N. Y.,.: „ /� » 1934 „ J .. f�`•' S 4- J Kr» _».. Inspectors o f Elections. We, the undersigned, Inspectors of Elections of the above town and district,do certify that the number on the last enrollment blank used on the second day of registration in the said district was..„« ...L «. „ . . and that there were enrolled at the close of that ..........as shown by the registers of the district. _ Dated--..««„..._»»„-. .. „« �« .„.„»»..».... »...»„ » ».»..«.„.« N. Y......44._t �_ Z�----.1934 » ... Inspectors of Elections. We, the undersigned, Inspectors of Elections of the above town and district, do certify that the number of electors enrolled on election day was»G««. „. and that the total enrollment for all days is Z_»_...........as shown by the registers of the above district. Dated»___. i.?Z.r �« « �« _ »» _« , N. Y. may.» » _«. «_»» ..«.«.:.1934 Inspectors of Elections. Aae6ee-�---- ......»...»„.»«.. We,.».»..»...«.«..„....»...„........................................................... ....... ..„.. «.«....„..._ .._ »_...».._.....„«.. ....._..................................................._..............._. .............................. ...........:.........._._..............................._........... the members of the Board of Elections of the county of the custodians of primary records of such county, do hereby certify and declare that we have correctly and properly transcribed to the within original enrollment books all of the enrollments from all of the enrollment blanks delivered to us pursuant to the Election Law and we have correcfly and properly transcribed the enrollment indicated on the blank of each voter to the said enroll- ment books, as provided in the Election Law. Dated......»„»»„»„»_.„»»».»»«. » » »„« .».„»»„»».. «_. ...»»„„».. . „ » _«, N. Y.,.» «« ._..».„„«» ...«:...............»....__....___1934 .................................................... _«...»..»...»..»...»..„„„. »„ [SEAL] .........._...........................„„„...«.«. »»»„„„ »..„..»..„ .............. Custodians of Primary Records. CERTIFICATION OF DUPLICATE ENROLLMENT We, the undersigned, the members of the Board of Elections of the county of.« _...... ........... ....... ............and the custodians of primary records of such f county, do hereby certify and declare that the foregoing is a correct transcript of the names,addresses and political affiliation of each voter enrolled in the county of—" „ ..« --_..—_"".--taken".„»...taken from the original enrollment books filed in our office, and being the enrollment books made during-the days of regis- tration of votes for or at the general election held in said county on the 6th day of November, 1934. .._......... ..... N. Y. 4 r ................................ ........ .......» .«.„..............«„„»».„...».._.......».................................. Custodians of Primary Records. BURLAND PRINTING CO.,Ixc. PRINTERS,NEW YORK,N.Y. Name of flpplicant ' Address i ........ ..,. ................................ ................. ............• ........' ............................I SECTION-117, ELECTION LAWS 1932 Application must be received by the Board of Elections not later than the seventeenth day before the general election APPLIC --- APPLICATION FOR .BALLOT ABSENTEE To the Board of Elections of the County of Tompkins in the State of New York: The subscriber hereby makes application for an Absentee's Ballot, and for such purpose states under oath as follows: STATE OF NEW YORK COUNTY OF TOMPKINS SS ....................OF........................................ ................ ..................................................... .................................................. being (Full name) duly sworn doth depose and says My name is .....:................. :............................................. (Full name not initials) My residence address is ............ ......... ......... (Street and number or R. F. D.) (City, village or town) in the County of Tompkins, State of New York. i I am a qualified voter in Election District, No ............................ ....Ward ...................................... of said . of said County and State. ....... ........ ......... ........ ...:....................:..... .................... ............. (City, village or town) I expect to be unavoidably absent from the County of Tompkins, State of New York, my resi. Bence on the day of the next general election (to wit.November,................ 193 ........) by reason of my duties, occupation and business, requiring me to be elsewhere within the United States on such day, That my "business is ................... .................... .................... .....................:................ ........................... (State the nature and kind) The special circumstances by which my absence is required are as follows: .......................... ..................... .................. . ............................................................................................................................... That I apply in good faith for an Absentee Voter's Ballot or Ballots. I .................................. ......... . ......... .......................... (Sign full name) Subscribed and sworn to before me this........................ ...,........ day of .:..:......:.................... 193...... .............................................................. ..... .................... ............... (Officers) (OFFICIAL SEAL) ........ ......... (Title of Officer) NOTE—Authentication of the signature, authority and official character of the officer before whom the affidavit purports to have been taken shall not be necessary when the affidavit is taken within the State of New York; nor when it is taken without the State before a Notary Public, with seal, if his seal be affixed. Name o A�p licant .f Address .......................................................r..................................r..r........................................r.a SECTION 117, ELECTION LAWS 1932I�I Application must be received by the Board of Elections not later than the seventeenth day before the general election APPLICATION FOR BALLOT---ABSENTEE To the Board of Elections of the County of Tompkins in the State of New York: The subscriber hereby makes application for an Absentee's Ballot, and for such purpose states under oath as follows STATE OF NEW YORK COUNTY OF TOMPKINS ss ....................OF........................................ it ............................................. .. being (Full name) I I duly sworn doth depose and says Myname is ............................................._.................!........................................................................................ (Full name, not initials) li My residence address is .........................................'.......................................... ...................... .................. (Street and number or R. F. D.) (City, village or town) in the County of Tompkins, State of New York. I am a qualified voter in Election District, No ............................ ....Ward ...................................... of said .......................................... .. , vitiage'or town........................................... of said County and State. y ) I expect to be unavoidably absent from the County of Tompkins, State of New York, my resi- dence m duties occupation and business requiring (to wit. November ................ 193 R.......) by reason of on the day of the next general election t y p q ' g e to be elsewhere within the United States on such day. Thatmy business is ................................................'........................................................................................ (State the nature and kind) The special circumstances by which my absence is required are as follows: ................................ ......... ...................................................................... ...................................................... ...... . .............. .... ....................................... .................................. .................................. .............................................. That I apply in good faith for an Absentee Voter's Ballot or Ballots. ...................I................. ............... ................... ........................... (Sign full name) Subscribed and sworn to before me this...................................... day of ................................ 193...... ........... . ........................................ .............................................. (Officers) OFFICIAL SEAL) ........................................................................ .. li . (Title of Officer) NOTE—Authentication of the signature, authority and official character of the officer before whom the affidavit purports to have been taken shall not be necessary when the affidavit is taken within the State of New York;nor when it is taken without the State before a Notary Public, with seal, if his seal be affixed. j