Republic of Texas 2014 Ballot
***2014 Voting Ballot*** 1st September 2014
(To be assigned by the Secretary of State's office official designee.)
Ballot No: ________
The republic of Texas
NATIONAL ELECTION BALLOT
SENATORIAL DISTRICT NO. 03
HARRIS, LIBERTY, AND GALVESTON COUNTIES
Instructions:
1. How to mark your Voting Ballot:
Mark an “X” on the line next to your candidate(s) choice for whom you are voting, ----OR---- Write in
your own name or a candidate’s name of your choice in the Write-In Section.
2. Write-in Candidates:
Write in the name of a candidate of your choice below the “Write-In Candidate” area. You may write
in your own name or a name of someone else, if you wish, for any position on the Ballot.
If you write in your name or someone else, YOU MUST attach to the Voting Ballot a Write-In
Candidate Information form. This form is located in the Election Tab of the website. A Ballot number
will be assigned by the National Election Judge or a designated official in the Secretary of State's
office.
Please read the “Candidate Eligibility” document in the Election Tab of the website.
3. District Offices:
All eligible voters who are domiciled in the jurisdictional republic of Texas counties for the district
where they are domiciled may vote for the Senate Seat candidate and Judicial District Office Seat
candidate or you may write-in a candidate. Read above instructions for write-in candidates.
4. County Offices:
All eligible voters who are domiciled in that named county may vote for House Representative(s), or
county positions as listed or may write-in a candidate’s name or if more than one position is
required you may write in one candidate’s name for each position.
5. CASTING YOUR BALLOT:
When you have completed your Ballot and Write-In Candidate form(s), if applicable, MAIL your
Voting Ballot plus your Write-In Candidate Information form(s) TO:
Billy D. Ford P. O. Box 280 Iola, Texas
www.texasrepublic.info
IMPORTANT NOTE: YOUR MAILED VOTING BALLOT MUST BE POSTMARKED NO
LATER THAN SEPTEMBER 2, 2014 TO BE ACCEPTABLE.
Failure to follow these instructions could disqualify your vote.
Page 1 of 4
***2014 Voting Ballot*** 1st September 2014
Ballot No: ________
(To be assigned by the Secretary of State's office official designee.)
The republic of Texas
NATIONAL ELECTION BALLOT
SENATORIAL DISTRICT NO. 03
HARRIS, LIBERTY, AND GALVESTON COUNTIES
DISTRICT OFFICES
JUDICIAL DISTRICT NO. 1 OFFICE
Clerk Of the District Court #1
Harris, Liberty, and Galveston, Counties
Write-In Candidate:
COUNTY OFFICES
HOUSE SEAT COUNTY OFFICES
Harris County – House Representative
_____________ Mike Wells
Write-In Candidate:
Galveston County – House Representative Write-In Candidate:
Liberty County – House Representative Write-In Candidate:
HARRIS COUNTY OFFICES:
Clerk of the Court: Write-In Candidate:
Sheriff: Write-In Candidate:
LIBERTY COUNTY OFFICES:
Chief Justice Judge: Write-In Candidate:
Clerk of the Court: Write-In Candidate:
Sheriff: Write-In Candidate:
Page 2 of 4
***2014 Voting Ballot*** 1st September 2014
(To be assigned by the Secretary of State's office official designee.)
Ballot No: ________
The republic of Texas
NATIONAL ELECTION BALLOT
SENATORIAL DISTRICT NO. 03
HARRIS, LIBERTY, AND GALVESTON COUNTIES
GALVESTON COUNTY OFFICES:
Chief Justice Judge: Write-In Candidate:
Clerk of the Court: Write-In Candidate:
Sheriff: Write-In Candidate:
Page 3 of 4
***2014 Voting Ballot*** 1st September 2014
(To be assigned by the Secretary of State's office official designee.)
Ballot No: ________
The republic of Texas
NATIONAL ELECTION BALLOT
SENATORIAL DISTRICT NO. 03
HARRIS, LIBERTY, AND GALVESTON COUNTIES
ATTENTION ELECTOR !!!
IT IS MANDATORY THAT YOU SUBMIT THIS PAGE WITH YOUR BALLOT WHEN VOTING !
This form is to ensure elector eligibility information only and will NOT be filed with your Ballot.
Mail this form with your marked Voting Ballot to:
Billy D. Ford
P. O. Box 280
Iola, Texas
PLEASE TYPE OR PRINT LEGIBLY
Full Name:___________________________________________
Physical Address:_____________________________________
City / County:________________________________________
Home Phone:_________________________________________
Cell Phone:__________________________________________
Age / Birth Year:______________________________________
Length of time domiciled in County (mos./years): __________
---------------------------------------------------------------------------------------
PLEASE SIGN BELOW PRIOR TO MAILING YOUR VOTING BALLOT FORM !
VOTER'S SIGNATURE:__________________________________________________
VOTER'S PRINTED NAME:_______________________________________________
DATE SIGNED:___________________________________________________
(To be assigned by the Secretary of State's office official designee.)
Ballot No: ________
The republic of Texas
NATIONAL ELECTION BALLOT
SENATORIAL DISTRICT NO. 03
HARRIS, LIBERTY, AND GALVESTON COUNTIES
Instructions:
1. How to mark your Voting Ballot:
Mark an “X” on the line next to your candidate(s) choice for whom you are voting, ----OR---- Write in
your own name or a candidate’s name of your choice in the Write-In Section.
2. Write-in Candidates:
Write in the name of a candidate of your choice below the “Write-In Candidate” area. You may write
in your own name or a name of someone else, if you wish, for any position on the Ballot.
If you write in your name or someone else, YOU MUST attach to the Voting Ballot a Write-In
Candidate Information form. This form is located in the Election Tab of the website. A Ballot number
will be assigned by the National Election Judge or a designated official in the Secretary of State's
office.
Please read the “Candidate Eligibility” document in the Election Tab of the website.
3. District Offices:
All eligible voters who are domiciled in the jurisdictional republic of Texas counties for the district
where they are domiciled may vote for the Senate Seat candidate and Judicial District Office Seat
candidate or you may write-in a candidate. Read above instructions for write-in candidates.
4. County Offices:
All eligible voters who are domiciled in that named county may vote for House Representative(s), or
county positions as listed or may write-in a candidate’s name or if more than one position is
required you may write in one candidate’s name for each position.
5. CASTING YOUR BALLOT:
When you have completed your Ballot and Write-In Candidate form(s), if applicable, MAIL your
Voting Ballot plus your Write-In Candidate Information form(s) TO:
Billy D. Ford P. O. Box 280 Iola, Texas
www.texasrepublic.info
IMPORTANT NOTE: YOUR MAILED VOTING BALLOT MUST BE POSTMARKED NO
LATER THAN SEPTEMBER 2, 2014 TO BE ACCEPTABLE.
Failure to follow these instructions could disqualify your vote.
Page 1 of 4
***2014 Voting Ballot*** 1st September 2014
Ballot No: ________
(To be assigned by the Secretary of State's office official designee.)
The republic of Texas
NATIONAL ELECTION BALLOT
SENATORIAL DISTRICT NO. 03
HARRIS, LIBERTY, AND GALVESTON COUNTIES
DISTRICT OFFICES
JUDICIAL DISTRICT NO. 1 OFFICE
Clerk Of the District Court #1
Harris, Liberty, and Galveston, Counties
Write-In Candidate:
COUNTY OFFICES
HOUSE SEAT COUNTY OFFICES
Harris County – House Representative
_____________ Mike Wells
Write-In Candidate:
Galveston County – House Representative Write-In Candidate:
Liberty County – House Representative Write-In Candidate:
HARRIS COUNTY OFFICES:
Clerk of the Court: Write-In Candidate:
Sheriff: Write-In Candidate:
LIBERTY COUNTY OFFICES:
Chief Justice Judge: Write-In Candidate:
Clerk of the Court: Write-In Candidate:
Sheriff: Write-In Candidate:
Page 2 of 4
***2014 Voting Ballot*** 1st September 2014
(To be assigned by the Secretary of State's office official designee.)
Ballot No: ________
The republic of Texas
NATIONAL ELECTION BALLOT
SENATORIAL DISTRICT NO. 03
HARRIS, LIBERTY, AND GALVESTON COUNTIES
GALVESTON COUNTY OFFICES:
Chief Justice Judge: Write-In Candidate:
Clerk of the Court: Write-In Candidate:
Sheriff: Write-In Candidate:
Page 3 of 4
***2014 Voting Ballot*** 1st September 2014
(To be assigned by the Secretary of State's office official designee.)
Ballot No: ________
The republic of Texas
NATIONAL ELECTION BALLOT
SENATORIAL DISTRICT NO. 03
HARRIS, LIBERTY, AND GALVESTON COUNTIES
ATTENTION ELECTOR !!!
IT IS MANDATORY THAT YOU SUBMIT THIS PAGE WITH YOUR BALLOT WHEN VOTING !
This form is to ensure elector eligibility information only and will NOT be filed with your Ballot.
Mail this form with your marked Voting Ballot to:
Billy D. Ford
P. O. Box 280
Iola, Texas
PLEASE TYPE OR PRINT LEGIBLY
Full Name:___________________________________________
Physical Address:_____________________________________
City / County:________________________________________
Home Phone:_________________________________________
Cell Phone:__________________________________________
Age / Birth Year:______________________________________
Length of time domiciled in County (mos./years): __________
---------------------------------------------------------------------------------------
PLEASE SIGN BELOW PRIOR TO MAILING YOUR VOTING BALLOT FORM !
VOTER'S SIGNATURE:__________________________________________________
VOTER'S PRINTED NAME:_______________________________________________
DATE SIGNED:___________________________________________________
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