SAMPLE
OFFICIAL BALLOT FOR PARTISAN OFFICE
HC6
NOTICE TO ELECTORS: THIS BALLOT MAY BE INVALID UNLESS INITIALED BY 2 ELECTION INSPECTORS. IF CAST AS AN ABSENTEE BALLOT, THE BALLOT MUST BEAR THE INITIALS OF THE MUNICIPAL CLERK OR DEPUTY CLERK. IMPORTANT: USE A #2 PENCIL OR THE MARKING PEN PROVIDED. DO NOT USE BALL POINT PEN!
To vote for the candidate of your choice, complete the arrow to the RIGHT of the candidate's name. To vote for a person whose name does not appear on the ballot, write the person's name on the line provided and complete the arrow . When voting for president or vice-president, you may vote only for the candidates on one ticket jointly or by writing in the names of persons in both spaces. A write-in vote only for a vice-presidential candidate will not be counted.
FEDERAL
LEGISLATIVE & STATE continued
PRESIDENT & VICE-PRESIDENT Vote for One
MITT ROMNEY PAUL RYAN
REPRESENTATIVE TO THE ASSEMBLY DISTRICT 46 Vote for One
REPUBLICAN
BARACK OBAMA JOE BIDEN DEMOCRATIC
TRISH SCHAEFER REPUBLICAN
VIRGIL GOODE JIM CLYMER CONSTITUTION
GARY HEBL DEMOCRATIC
GARY JOHNSON JAMES P. GRAY [Libertarian Party]
Write-in
DISTRICT ATTORNEY Vote for One
GLORIA LaRIVA FILBERTO RAMIREZ, JR.
ISMAEL OZANNE
[Party for Socialism and Liberation] DEMOCRATIC
JERRY WHITE PHYLLIS SCHERRER
Write-in
[Socialist Equality Party]
JILL STEIN BEN MANSKI [Green Party] INDEPENDENT
COUNTY COUNTY CLERK Vote for One
President______________________ Vice-President__________________ Write-In
SCOTT McDONELL DEMOCRATIC Write-in
CONGRESSIONAL UNITED STATES SENATOR
TREASURER
Vote for One
Vote for One
TOMMY G. THOMPSON REPUBLICAN
ADAM GALLAGHER DEMOCRATIC Write-in
TAMMY BALDWIN DEMOCRATIC
REGISTER OF DEEDS Vote for One
JOSEPH KEXEL [Libertarian Party]
KRISTI CHLEBOWSKI
OFFICIAL BALLOT for PARTISAN OFFICE
Write-in
NOVEMBER 6, 2012 for
DEMOCRATIC
NIMROD Y. U. ALLEN, III [I.D.E.A.] INDEPENDENT Write-in
REPRESENTATIVE IN CONGRESS DISTRICT 2
_____CITY OF STOUGHTON____________________ Ballot issued by
Vote for One
__________________________ CHAD LEE
REPUBLICAN
MARK POCAN DEMOCRATIC Write-in
LEGISLATIVE & STATE
__________________________ (Initials of Inspectors) __________________________ Absent Elector's Ballot issued by _____________________________ (Initials of Municipal Clerk or Deputy Clerk) _____________________________ Certification of Elector Assistance I certify that this ballot was marked by me for an elector who is authorized under the law to have assistance, upon request, and as directed by the elector.
STATE SENATOR DISTRICT 16 Vote for One
MARK MILLER DEMOCRATIC Write-in
____________________________ (Signature of assisting individual)