(e0-6108- Rev.201, Prim. Peta, Towa. Comm. Pol: Subd. (G:Mormsted-600'ed-6104.oe) Mi EI i ‘oR’ TAI EN] PARI C. Circulator must have Part C filled in before submitting it to party's Registrar in municipality ia wl the signers are enrolled PR" Caden a Ee a 1 Registrar of Voters of the party named in Part A of this petition, in the Town of 1 do hereby attest that the above cireulator is an enrolled member of said a a Dat, TOR’ yF AUTHENTICITY OF SIGNATURES D. Part D must be completed, by Circulator and by Acknowledging Offer, after obtaining all signatures ta this page and before ling it with party’s Registrar in municipality in which the signers ofthe page are enrolled. ‘Lam the Circulator of this petition page and I make this statement pursuant to the provisions of Chapter 153 of the General Statutes of Connecticut. My address is: 0 een OP mie town of a oa Tam an enrolled member of the political party desigeated on this petition in “EitGons Back person whose oame appears on this petition signatures page signed the same in person in [Ey presence. Tether know each such signer or such signer satisfactorily identified himself or herself to aa the spaces for candidates supported, positions sought and the political party involved were filed in prior to my obtaining the signatures, ‘The number of sigoatares on this petiion signatures page is 1. hereby declare under the PENALTIES OF FALSE STATE} foregolng Circulator's Statement of Authenticity of Signatures en Cn this the ZT" day gf ANUAEY 2018 , before me, the undersigned office, personaly ao hs ESSERE iowa te me (or atstactoily proven) tobe the person meee cuneate) same is subsite he foregoing Statement of Circulator and aceowlegel that he executed the same Torthe purpose contained therein. Tn Witmoe Whereot, Ihave hereunto set my hand. (Qe Tt arr ETH My commission expires, S*F@AU (Gate) Serk mntary pane a: oT) Gratorney admited tthe Connecticut Dar (ON BY REGIS! a1 [0 ARE ON LM . The following is to be filled in by the Registrar of Voters before Registrar ‘municipality: es with the Clerk of the 1, Registrar of Voters in the a forenamed municipality, hereby certify that the number of signers om ‘hs primary pion page who ae enaled on he a-cmited enrollment st ofthe forenamed party ail nas poet ma von EF 8D108 Rev 1201ormed-600\ed-100.c)-(CIRCULATOR: Read separate Instruction Sheet before circulating.) (7) PRIMARY PETITION SIGNATURES PAGE FOR TOWN COMMITTEE FROM POLITICAL SUBDIVISION WARNING: ITIS A CRIME TO SIGN THIS PETITION IN THE NAME OF ANOTILER PERSON ‘WITHOUT LEGAL AUTHORITY TO DO SO AND YOU MAY NOT SIGN THIS PETITION IF YOU ARE NOT AN ELECTOR A Lov a8 gIvING ovr cry TOWN OF, ford Panty_Demoerat Marsh 6.2018 | | PRIMARY BOROUGH POSITION SOUGHT; Town Committee from Sih Assembly Distt TERM 2018-2020 (ottcal Subdivision) NAME(S) OF CANDIDATE(S) ‘ADDRESS NAME(S) OF CANDIDATES) ADDRESS (ote: roid aso space) Milly Arciniega 126 Yale Street Estela Morales Segarra 74 Haddam St. Michael F. Brescia 386 Linnmoore St. Pedro Torres, Jr. 44 Goshen St Kathleen Kowalyshyn 28 Forster St. Tyrone V. Walker 343 Fairfield Ave. Jacqueline Nadal 646 New Britain Ave. Carl A. Williams 401 Cromwell St. Lillie B. Parker 26 Douglas St. Hyacinth A. Yennie 190 Cheshire St. Alejandro Rodriguez 81 Cromwell St. Maly Rosado. 134 Forster St. ‘Anna Delia Sarraga-Cieri 197 Fairfield Ave. ‘THIS PETITION MUST BE FILED WITH ___Giesle “Gigi” Feliciano ‘ame of Registrar of Voters ‘ot later than 4:00 pom. on January 31,2018 ‘Address of said Registrar) 'B. We, the undersigned, being enrolled members of the above party in the above political subdivision of ‘the above municipality, do hereby petition that there be printed on the voting machine ballot labels to be ‘used ia the primary of said party in said political subdivision to be held on the date above specified the ‘name(s) of the above individual(s) as candidates for eleetion to the Town Committe from said political subdivision: ‘SIGNATURE OF ENROLLED ELECTOR, PRINTED NAME OF ELECTOR (pe Serpgne j bugs - 2 /a>]sa|£< An Bs ins eZ laaiwn Nazario HAO Pesez V(#0-6104-Re.1201, Prin, Pen. Town. Comm. Pol. Subdiv,(G:formsied-600'sed-610a.oe) su REGIS! AS. {CULATOR' ‘STATUS ASF TY . Circulator must have Part C filed in before submitting it to party's Registrar in municipality in which the signers are enrolled. {IRCULATORS RESIDENCE ADDRESS (No, Sires For REA EB \ Weio Gridain eee Waeioon 1, Registrar of Voters ofthe party named in Part A ofthis petition, inthe Town ot Lata to heey atts that she above crcuatr Is an eavlled member of sad party Taald ean and iat hes cae to vo Yah Date CIRCULATOR'S STATEMENT OF AUTHENTICITY OF SIGNATURES D. PartD must be completed, by Circulator and by Acknowledging Officer, after obtaining all signatures ‘on this page and before fling it with party's Registrar in municipality in which the siguers of the page are enrolled. Tam the Circulator of this petition page and I make ths statoment pursuant to the provisions of Chapter 1SGof the General Statutes of Conncebcat, My address by Lgdts\tzaoCautaunCLage Inthe vown of Sere nam enrolled member of We plleal part-detganied a ts pelon In Said town. Each person whose name appears on this petition signatures page signed the same in person in ‘my presence. I elther know exch such signer or such signer satisfactorily ientified himself or herself to ‘me. ‘The spaces for candidates supported, positions sought and the poltieal party Involved were filled ia prior to my obtaining the signatures. The number of signatures on this petition signatures page is 7 T hereby declare under the PENALTIES OF FALSE. ST! TT, that the statements made in the foregoing Cireulator's Statement of Authenticity of Signaturdé are trae. ‘Signature of Circulator CERTIFICATION OF ACKNOWLEDGING OFFICER State of Connecticut ) § at_bew Horde County ot HE 3 "gorse On this the 22" “aay of UAT Y _, 2010 , before me, the undersigned officer, personally sppenra hes lawn tm (or ntsnctrty proves) fo to parson sow (samt) name is subseribed to the foregoing Statement of Circulator and acknowledged that he executed the same for the purpose contained therein. Enea trea es tereote et my hand, eae 1 eee ofa court of Seorl or family apport pixels aso sarc Rr or ay por eee Eel cumin cso (date) clerks notary pal peace; ic only) or attorney admitted fo the Connecticut Bar (CERTIFICATION BY REGISTRAR OF VOTERS OF NUMBER OF SIG! ‘WHO ARE.ON ENROLLMENT LIST E. The following is to be filed in by the Registrar of Voters hefore Registrar files with the Clerk of the riunieip [L, Registrar of Voters inthe aforenamed municipality, hereby certify that the number of signers on this grimy eson pas ho ar aad mie et oped none: a of the soreare pry a the above political subdivision in said municipality is ‘oumber) Dated at + Connecticut, tnis_[ "day of. 20, Registrar of Voters) 8tostecnnsi end rit tno (CIRCULATOR: Red pea Inarcin Sat ere etn) vnIMAtyPETTIONSINATORES AGH FOR TOWN CONDUTEE ROM FOLITICAL svEDWI.O [| WARNING: IT IS A CRIME TO SIGN THIS PETITION IN THE NAME OF ANOTHER PERSON ‘WITHOUT LEGAL AUTHORITY TO DO SO AND YOUMAY NOT SIGN THIS ‘PENTION IF YOU ARE NOT AN ELECTOR ‘A. REGISTRAR MUST FIL. OUT THIS PART (A) BEFORE GIVING OUT THIS FORM cv ‘TOWN OF Hartford vanty_Democratic, Marsh 62018 PRIMARY HOROUGH POSITION SOUGHT; Town Commitee fom Sth Atsmbly District TERM 2018-2020, (Gotten sation) NAME(S) OF CANDIDATES) ADDRESS NAMES ADDRESS (ate proide sult pace) 126 Yale Street Kstela Morales Segarra 74Haddam St. | | 386 Linamoore St. Pedro Torres, Jr. 44 Goshen St. een Kowalyshyn 28 Forster St. ‘Tyrone V. Walker 343 Fairfield Ave. Jacqueline Nadal 646 New Britain Ave. Carl A. Williams 101 Cromwell St. Lillle B. Parker 26 Douglas St. Hyacinth A. Yennie 190 Cheshire St. Alejandro Rodriguez, 81 Cromwell St. Maly Rosado 134 Forster St. ‘Anna Delia Sarraga-Cieri 197 Fairfield Ave. ‘ame of Registrar of Voters) (Address of sad Rogistrar) | ‘THIS PETITION MUST BE FILED WITH ___Glislie “Gigi” Feliciano $S0_Main Street, Hartford not later than 4:00 pm. on January 31,2018 BB We, the undersigned, being enrolled members of the above party in the above political subdivision of, the above municipality, do hereby petition that there be printed on the voting machine ballot labels to be used in the primary of sald party In sald political subdivision to be held on the date above specified the sana) ofthe above inves) as candntes for section tothe Town Commitee fom sald politcal SIGNATURE OF ENROLLED PRINTED NAME OF ELECTOR