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Instructions: Complete Form and Return to Dawson County Clerk & Recorder's Office, 207 W. Bell, Glendive, MT 59330 Include $10.00 for each list or disk. Labels available at current price.
DATE _______________________ COUNTY_____________________ I, hereby request the information below for __________________ Precinct(s) at a charge not to exceed actual cost. That cost is understood to be: $ __________________ per Registration List $ __________________ per Label(s) $ __________________ per Tape/Diskette Use of the item(s) requested is for noncommercial purposes as required by Section 13-2-122. Montana Code Annotated. ___________________________________ Signature of elector requesting material ____________________________________ Mailing address _____________________________________ City State + Zip
Copyright © 2004-2008 ~~ All Rights Reserved ~~ Send Comments to marcia@midrivers.com Site last updated February 04, 2008 Dawson County, Montana, United States of America
