8/14/2019 Independent NominatingPetitionfor the Village of Rye Brook

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IndependentNominatingPetition or the Villageof Rye BrookI, theundersigned, o herebystate hat I am a registered oter of the Village of RyeBrook, hat my present laceof residences truly stated ppositemy signature ereto,and hat I do herebynominatehe following narnedpersonasa candidateor election opublicoffice o be voted or attheelectiono be held onthe 16thdayof March,2010,and hat I select he name,We the P_eoplgf Rye Broolq as henameof the ndependentbody making he nominationand Wi as he emblemof suchbody.L.I'Nameof Candidate PublicOfficeMoggan Moge)Agahian Officeof Trustee

Termthree'years

Residence208 vy Hill Lane.,RyeBroolgNY, 10573

IN WTIIIESS WHREOF,I havehereunto etmy hand,he dayandyearplaced ppositemy signature.Date Sienature PrintedName Residence ElectionDistrict

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( Lirrr", /-/.rqAr) statethatlamadulyqualifiedvoterandnowresideatI 7 /-0, K ,l?;rLrt f).u-p -_RyeBrook, .{Y 10573n the29 election istrictof,rk in the Cog3ryof Westchester. achof thevoters,whosenames resubscribedo thispetitionsheet, ontainng / signatures,ubscribedis or hersignaturen my presence.I understandhat his statement ill beacceptedor all purposess he equivalent f anafiidavitand, f i tcontains materialalsestatement hallsubjectme o the same enalties s f I hadbeendulysworn.

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8/14/2019 Independent NominatingPetitionfor the Village of Rye Brook

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IndependentNominatingPetition or theVillage of Rye BrookI, the undersigned, o herebystate hat I amaregistered oter of the Village of RyeBrook, hatmy present laceof residences truly stated ppositemy signature ereto,and hat do herebynominatehe ollowing narned ersonasa candidateor election opublicoffrce o bevoted or at theelection o beheld on the 16thdayof March,2010,and hat I select hename,We the Pg_oplef Rye Brook, as he nameof the ndependentbody making he nominationand W; as he emblemof suchbody.LJ'Nameof Candidate PublicOffice Term ResidenceMoggan Moge)Agahian- Office of Trustee three-year 208 vy Hill Lane.,RyeBroolgNY, 10573IN WTII\IESS WHREOF,I have hereunto setmy hand, he day andyear placedoppositemy signature.

Date Signature PrintedName Residence ElectionDistrict

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tc t'1656state hat am a duly qualified oterandnow reside t- Ry" Brook,NY 10573n the 'l a election istrictof

"k in the Counlyof Westchester. achof thevoters,whosenames resubscribedo thispetitionsheet, ontaining I () signatures,ubscribedisor hertheVillageof Ryesignaturen mypresence.I understandhat his statement ill beacceptedor all purposess he equivalent f an affidavitand, f itcontains material alsestatemen| hallsubjectme o the

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8/14/2019 Independent NominatingPetitionfor the Village of Rye Brook

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IndependentNominatingPetition for the Village of RyeBrookI, the undersigned, o herebystate hat I am a registered oterof theVillage of RyeBrook, thatmy presentplaceof residences truly statedoppositemy signafire hereto,and hat I do herebynominatehe following namedpersonasa candidateor election opublic offrce o be voted or at the election o be held on the 16thdayof March, 2010,and hat I select hename,We the Pgqpleof Rye Brooko as he rulmeof the ndependentbody making he nominationand Wi as he emblemof suchbody.L+,Name of Candidate Public Office i Term ResidenceMoggan Moge)Agahian Office of Trustee three-year 208 vy Hill Lane.,RyeBroolg .[Y, 10573IN WTI'I\IESS WHREOf,',I havehereuntoset my han4 the day andyear placedoppositemy signature.

Date Sisnature PrintedName Residence ElectionDistrict

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