Suffering from Voter Apathy...?
Get Over It!
The November 3 election could put an end to your college days!
There’s a constitutional amendment on die November ballot that could make It Impossible for you to continue your college
education. You’ve got to get out and vote against Measure 413.
Nothing to write home about...?
Think again! If you don't write home and tell your friends and
family to get out and vote against Measure 413 —you might find yourself
spending a lot more time with them next year!
Measure 413 supporters want to raise your
tuition. They think you’re too lazy to vote.
Show them you care!
NOVEMBER 3,1998 GENERAL ELECTION
Application for Absentee Ballot 4' i
7 . ; i
I am a registered voter at my borne address listed on the opposite tide of titis card. I hereby request an absentee
ballot be mailed to me at J_______
became 1 will be unable to go to the polling place on election day for the following reason:
□ Honrs polling place is open.
□ I will he absent from the Country at the time of election.
□ I am physically unable to go to the polling place.
□ I will be hospitalized.
□ Iain legally bOnd.
□ I cannot go because of the tenets of my religion.
□ lam confined by public order.
Q 1 have requested my residence remain confidential pursuant to the law.
Q 1 am a Nebraskan resident and (a) a member of the Armed Forces ora spouse or dependent of such
member, (b) a citizen temporarily residing outside the United Stales or of foe District of Columbia,
>-• ••• « '(c) an overseas citizen.
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I hereby declare under penalty of election falsification, that these statements are true, as 1 verily believe.
Signature of Voter __. Pbooe Number ___________
Date of Birth ___■
*The penalty for election falsification is imprisonment for up to 5 years or a fine not to exceed $10,000 or both.
—-Get this form to your Election Commissioner by 4 p.m. October 30
Adams/Hastings/68901
Antelope/Neligh/68756
Arthur/Arthur/69121
Barmer/Harrisburg/69345
Blaine/Brewster/68821
Boone/Albion/68620
Box Butte/Alliance/69301
Boyd/Butte/68722
Brown/Ainsworth/69210
Buffalo/Keamey/68847
Burt/Tekamah/68061
Butler/David City/68632
Casa/Plattsmouth/68048
Cedar/Hartington/68739
Chase/Imperial/69033
Cheny/Valentme/69201
Cheyenne/Sidney/69162
Cky/Clay Center/68933
Colfex/Schuyler/68661
Cuming/WestPoint/68788
Custer/Broken Bow/68822
Dakota/Dakota City/68731
Dawes/Chadron/69337
Dawson/Lexington/68850
Deuel/Chappell/69129
Dixon/Ponca/68770
Douglas/Omaha/68183
Dodge/Fremont/68025
Dundy/Benkelman/69021
Fillmore/Geneva/68361
Franklin/Franklin/68939
Frontiet/Stockville/69042
Fumas/Beaver City/68926
Gage/Beatrice/68310
Garden/Oshkosh/69154
Garfield/Burwell/68823
Gosper/Elwood/68937
Grant/Hyannis/69350
Greeley/Greeley/68842
Hall/Grand Island/68801
Hamilton/Aurora/68818
Harian/Alma/68920
Hayes/Hayes Center/69032
Hitchcock/Trentcm/69044
Holt/O’Neill/68763
Hooker/Mullen/69152
Howard/St Paul/68873
Jefferson/Fairbuiy/68352
Johnson/Tecumseh/68450
Keamey/Minden/68959
Keith/Ogallala/69153
Keys Paha/Springview/68778
Kimball/Kimball/69145
Knox/Center/68724
Lancaster/Lincoln/68508
Lincoln/North Platte/69101
Logan/Stapleton/69163
Loup/Taylor/68879
Madison/Madison/68748
McPherson/Tryon/69167
Menick/Ceotral City/68826
Morrill/Bridgeport/69336
Nance/Fullerton/68638
Nemaha/Aubum/68305
NuckoOs/Nebon/68961
Otoe/Nebraska City/68410
Pawnee/Pawnee City/68420
Peririns/Grant/69140
Phelps/Holdrege/68949
Pierce/Pierce/68767
Platte/Columbus/68601
Polk/Osceola/68651
Red WiUow/McCook/69001
Richardson/Falls City/68355
Rock/Ba8sett/68714
S aline/WiIber/68465
Scotts Blufl/Gering/69341
Seward/Sewaid/68434
Sarpy/Papillion/68046
Saunders/Wahoo/68066
Sheridan/Rushville/69360
Sherman/Loup City/68853
Sioux/Harrison/69346 ,
Stanton/Stanton/68779 4 i
Thaycr/Hcbron/68370
Thomas/Thedford/69166
Thurston/Pender/68047
VaUey/Ord/68862
Washington/Blair/68008
Wayne/Wayne/68787
Webste/Red Cloud/68970
Wheeler/Bartlett/68622
York/Yoik/68467
-Mail this form bv October 16 — or reoister in person by October 23
Please print NEBRASKA VOTER REGISTRATION FORM
THIS REGISTRATION FORM MUST BE POSTMARKED ON OR BEFORE THE THIRD FRIDAY BEFORE THE ELECTION.
Upon receipt of the registration form, the county cleric or election commissioner will send a notice of registration to you if the registration form is proper.
This application may be delivered to the office of the county cleric or election commissioner by mail, in person, or by personal messenger.
Mr. Mrs. Last Name First Name Ml (please circle) County
Ms. Miss Jr. Sr. H m IV
Residence Address (Street or Route and Box # City or Town State Zip SecV Township / Range School DisL |
, / / $
Postal Address (if different from above) City or Town State Zip Phone Number (Optional)
Home: , Work:. :£
! ■ Birthdate Month / Day / Year Birthplace - City/State or Country (Optional) Maiden Name (Optional)
II ‘ -
Previously Registered Name (if different from above) Previously Registered Address City State
Political Party Affiliation - check one box: Q Democrat O Republican Q Reform □ Nonpartisan (Independent)
O Other (you must name the political party): _
(Note: If you wish to vote in both partisan and nonpartisan primary elections you must indicate a political party affiliation on the registration form. If you register
without a political party affiliation (independent) you will receive only the nonpartisan ballots at primary elections.)
To the best of my knowledge and belief, 1 declare tinder penalty of election falsification that: lam at least eighteen years of age or will be eighteen years of age on
or before the first Tuesday after thefirst Monday of November; lama citizen of the United States; 1 live in the State ofNebraska at the address provided above;
I have not been convicted of a felony or, if convicted, my civil rights have been restored; and 1 have not been officially found to be non compos mentis (mentally
incompetent). Any registrant who signs this form knowing that any of the information on the form is false shall be guilty of a Class IV felony under section
32-1502 of the statutes of Nebraska. The penalty for a class IV felony is up to five years imprisonment, a fine of up to ten thousand dollars, or both.
Signature Of Applicant (Please sign full name or put mark) If you are unable to sign your name, Registrar, Signature of Registrar not needed for
please give the name and address of the person who helped you fill out this application agency or mail-in registration
Date:
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