x . . . . . . . . . . . B IND HE R E . . . . . . . . . . . x
GENERAL PRIMARY PETITION We, the undersigned, members of and affiliated with the DE M OC R A T I C Party and qualified primary electors of the DE M OC R A T I C Party, in the State of I llinois, do hereby petition that the following named person shall be a candidate of the DE M OC R AT I C Party for the nomination for the office hereinafter specified, to be voted for at the primary election to be held on the Second (2nd) day of F ebr uar y, 2010.
OF F IC E
NAME
WILLIAM "DOCK" WALLS, III
ADDR E S S
GOVERNOR OF THE STATE OF ILLINOIS
NAME
1709 NORTH MOODY AVENUE C HICAGO, ILLINOIS 60639
STREET ADDRESS OR RR NUMBER
(voterÕs signature)
CITY, TOWN OR VILLAGE
COUNTY STATE
1
ILLINOIS
2
ILLINOIS
3
ILLINOIS
4
ILLINOIS
5
ILLINOIS
6
ILLINOIS
7
ILLINOIS
8
ILLINOIS
9
ILLINOIS
10
ILLINOIS
11
ILLINOIS
12
ILLINOIS
13
ILLINOIS
14
ILLINOIS
15
ILLINOIS
16
ILLINOIS
17
ILLINOIS
18
ILLINOIS
19
ILLINOIS
20
ILLINOIS
}
STATE OF ILLINOIS, ss. COUNT Y OF _________________ I, __________________________________________ , do hereby certify that I reside at ____________________________________________________, (Print CirculatorÕs Name)
in the City/Village/Unincorporated Area (circle one) of ________________________________ _ , County of__________ , State of Illinois, that Iam (if unincorporated, list municipality that provides postal service)
18 years of age or older, that I am a citizen of the United States, and that the signatures on this sheet were signed in my presence, not more than 90 days preceding the last day for the filing of the petitions and are genuine and that to the best of my knowledge and belief the persons so signing were at the time of signing the petition registered qualified voters of the DEMOCRATIC Party, in the political division in which the candidate is seeking nomination/elective office, and that their respective residences are correctly stated as above set forth. ( CirculatorÕs Signature )
Signed and sworn to (or affirmed) ______________________________________ by before me, on_________________________________ , 2009. (Name of Circulator) NOTARY PUBLIC
(SEAL)
SHEET NO. ______________
PROGRESS PRINTING