Application For Vote By Mail Ballot - Hackensack, Nj Page 2

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_________________________________
Name
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P
lace
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Street Address
ostage
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ere
City, State, Zip Code
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efore
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ailing
APPLICATION FOR VOTE BY MAIL BALLOT
John S. Hogan
Bergen County Clerk
One Bergen County Plaza
Room 130
Hackensack, NJ 07601

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