HALF HOLLOW HILLS CENTRAL SCHOOL DISTRICT NOMINATING PETITION FOR CANDIDATE FOR MEMBER OF THE BOARD OF EDUCATION Return To: District Clerk=s Office 525 Half Hollow Road Dix Hills, NY 11746 No Later than 5:00 p.m. on Monday, April 22, 2013 A MINIMUM OF FORTY-SIX (46) SIGNATURES IS REQUIRED BY LAW FOR THE MAY 21, 2013 ELECTION The name and residence of the candidate must be filled out on each page of the nominating petition before the petitioners sign the page. To: The District Clerk, Half Hollow Hills Central School District: I, the undersigned, do hereby state that I am a duly qualified voter of the Half Hollow Hills Central School District of Huntington and Babylon, that my place of residence is truly stated opposite my signature hereto, and that I do hereby nominate who resides at in said School District as candidate for a three-year term as a member of the Board of Education, which term begins July 1, 2013 and ends on June 30, 2016, to be voted for at the election to be held on Tuesday, May 21, 2013. IN WITNESS WHEREOF, I have hereunto set my hand the day and year placed opposite my signature: Name (1) (2) (3) (4) (5) (6) (7) (8) (9)
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I, the undersigned, do hereby state that I am a duly qualified voter of the Half Hollow Hills Central School District of Huntington and Babylon, that my place of residence is truly stated opposite my signature hereto, and that I do hereby nominate who resides at in said School District as candidate for a three-year term as a member of the Board of Education, which term begins July 1, 2013 and ends on June 30, 2016, to be voted for at the election to be held on Tuesday, May 21, 2013. IN WITNESS WHEREOF, I have hereunto set my hand the day and year placed opposite my signature: Name
Signature
Residence
Date
(11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) (26) (27) (28) (29) (30) A MINIMUM OF FORTY-SIX (46) SIGNATURES IS REQUIRED BY LAW FOR THE MAY 21, 2013 ELECTION The name and residence of the candidate must be filled out on each page of the nominating petition before the petitioners sign the page.
I, the undersigned, do hereby state that I am a duly qualified voter of the Half Hollow Hills Central School District of Huntington and Babylon, that my place of residence is truly stated opposite my signature hereto, and that I do hereby nominate who resides at in said School District as candidate for a three-year term as a member of the Board of Education, which term begins July 1, 2013 and ends on June 30, 2016, to be voted for at the election to be held on Tuesday, May 21, 2013. IN WITNESS WHEREOF, I have hereunto set my hand the day and year placed opposite my signature: Name
Signature
Residence
Date
(31) (32) (33) (34) (35) (36) (37) (38) (39) (40) (41) (42) (43) (44) (45) (46) (47) (48) (49) (50) A MINIMUM OF FORTY-SIX (46) SIGNATURES IS REQUIRED BY LAW FOR THE MAY 21, 2013 ELECTION The name and residence of the candidate must be filled out on each page of the nominating petition before the petitioners sign the page.
I, the undersigned, do hereby state that I am a duly qualified voter of the Half Hollow Hills Central School District of Huntington and Babylon, that my place of residence is truly stated opposite my signature hereto, and that I do hereby nominate who resides at in said School District as candidate for a three-year term as a member of the Board of Education, which term begins July 1, 2013 and ends on June 30, 2016, to be voted for at the election to be held on Tuesday, May 21, 2013. IN WITNESS WHEREOF, I have hereunto set my hand the day and year placed opposite my signature: Name
Signature
Residence
Date
(51) (52) (53) (54) (55) (56) (57) (58) (59) (60) (61) (62) (63) (64) (65) (66) (67) (68) (69) (70) A MINIMUM OF FORTY-SIX (46) SIGNATURES IS REQUIRED BY LAW FOR THE MAY 21, 2013 ELECTION The name and residence of the candidate must be filled out on each page of the nominating petition before the petitioners sign the page.
I, the undersigned, do hereby state that I am a duly qualified voter of the Half Hollow Hills Central School District of Huntington and Babylon, that my place of residence is truly stated opposite my signature hereto, and that I do hereby nominate who resides at in said School District as candidate for a three-year term as a member of the Board of Education, which term begins July 1, 2013 and ends on June 30, 2016, to be voted for at the election to be held on Tuesday, May 21, 2013. IN WITNESS WHEREOF, I have hereunto set my hand the day and year placed opposite my signature: Name
Signature
Residence
Date
(71) (72) (73) (74) (75) (76) (77) (78) (79) (80) (81) (82) (83) (84) (85) (86) (87) (88) (89) (90) A MINIMUM OF FORTY-SIX (46) SIGNATURES IS REQUIRED BY LAW FOR THE MAY 21, 2013 ELECTION The name and residence of the candidate must be filled out on each page of the nominating petition before the petitioners sign the page.
I, the undersigned, do hereby state that I am a duly qualified voter of the Half Hollow Hills Central School District of Huntington and Babylon, that my place of residence is truly stated opposite my signature hereto, and that I do hereby nominate who resides at in said School District as candidate for a three-year term as a member of the Board of Education, which term begins July 1, 2013 and ends on June 30, 2016, to be voted for at the election to be held on Tuesday, May 21, 2013. IN WITNESS WHEREOF, I have hereunto set my hand the day and year placed opposite my signature: Name
Signature
Residence
Date
(91) (92) (93) (94) (95) (96) (97) (98) (99) (100)
A MINIMUM OF FORTY-SIX (46) SIGNATURES IS REQUIRED BY LAW FOR THE MAY 21, 2013 ELECTION The name and residence of the candidate must be filled out on each page of the nominating petition before the petitioners sign the page.