HomeMy WebLinkAboutblank ATM article PetitionANNUAL TOWN MEETING - CITIZEN’S ARTICLE
To see if the Town will vote to:
SIGNERS’ STATEMENT We are qualified voters of the Commonwealth of Massachusetts and of the Town of Nantucket.
INSTRUCTIONS TO SIGNERS:
Your signature should be written as substantially as registered. If you are prevented, by physical disability,
from writing you may authorize some person to write your name and residence in your presence
I II III
C
k
Signatures to be made in
person with name
substantially as registered
(except in case of physical
disability as stated above)
Printed Name W
a
r
d
0
P
r
e
c
1
Now Living At
(Street and Number)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Instructions to Registrars
You must time-stamp or write in date and time these papers are
received.
Check thus ü against the name of qualified voter to be certified.
For names not certified, use the codes opposite.
N = no such registered voter at that address.
S =unable to identify signature or address as that of
voter because of form of signature or address, or
illegible.
W =wrong district or community.
T =already signed this petition.
CERTIFICATION OF SIGNATURES
We certify that ( )____________________
signatures checked thus ü are names of voters of the
Town of Nantucket and are qualified to sign this petition.
(at least three Registrars= names must be signed or stamped below)
Registrars of Voters of the Town of Nantucket