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DEMOCRATIC DESIGNATING PETITION
COUNTY OF Lawrence County, STATE OF New York
I, the undersigned, do hereby state that I am a duly enrolled voter of the Democratic Party and entitled to vote at the next primary election of such party, to be held on 2025-02-23, that my place of residence is truly stated opposite my signature hereto, and I do hereby designate the following named person (or persons) as a candidate for nomination of such party for public office or for election to a party position of such party.
| NAME OF CANDIDATE | PUBLIC OFFICE OR PARTY POSITION | PLACE OF RESIDENCE |
|---|---|---|
| David Jacobi | New York State Senator - 6th District | 274 Muller Parks, Fort Aliciafurt, NY 33268-7759 |
| SIGNATURE OF ENROLLED ELECTOR | PRINTED NAME OF ELECTOR | DATE | RESIDENCE | TOWN OR CITY |
|---|---|---|---|---|
| Quinten Herman | QUINTEN HERMAN | 2025-02-18 | 74232 1ST STREET | HUNTSVILLE |
| Alysa Jacobson | Alysa Jacobson | 2025-02-18 | 8036 Wilford Crossing | Breitenbergchester |
| Ryan Cartwright | Ryan Cartwright | 2025-02-18 | 78113 Lucilwitz Hill | Schowatterland |
| Cameron Hettinger | Cameron Hettinger | 2025-02-18 | 662 Turcotte Camp | West Eddie |
| Maud Cummings | Maud Cummings | 2025-02-18 | 6387 2 Carlotta Glen | North Edwina |
| Kaitlyn Schaefer | Kaitlyn Schaefer | 2025-02-18 | 353 W Jackson Street | Port Dayton |
| Gwen Schoen | Gwen Schoen | 2025-02-18 | 1054 Dawn Highway | Blandaboro |
| Broderick Oberbrunner | Broderick Oberbrunner | 2025-02-18 | 6A Hartmann Trail | El Cajon |
| Jamey Murray | Jamey Murray | 2025-02-18 | 8524 N Main | New Jayceefort |
| Erin Jenkins | ERIN JENKINS | 2025-02-18 | 607 GUSSIE GROVE | LAKE BROWN |
| Krystal Predovic | Krystal Predovic | 2025-02-17 | 8345 Gottlieb Knolls | Saigeburgh |
| Alexie Macejkovic | Alexie Macejkovic | 2025-02-18 | 31043 Briana Pike | San Leandro |
| Earline Mayer | Earline Mayer | 2025-02-18 | 383 Dach Bypass | Vonview |
| Emily Rath | Emily Rath | 2025-02-18 | 496 Ole Trail | West Emmie |
STATEMENT OF WITNESS
I, (print name) Mr. Juan Bashirian , state: I am a duly qualified voter of the State of New York and am an enrolled voter of the Democratic Party. I now reside at 62477 Sofia Rue, 55950-7284 .
Each of the individuals whose names are subscribed to this petition sheet containing 14 signatures, subscribed the same in my presence on the dates above indicated and identified himself or herself to be the individual who signed this sheet.
Date: 2025-02-18 Signature of Witness Mr. Juan Bashirian