Fillable State of Illinois Report of Filing Local Option (Illinois Secretary of State)

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State of Illinois Report of Filing Local Option (Illinois Secretary of State)

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State of Illinois
Report of Filing Local Option Petition
235 ILCS 5/9-12
Secretary of State Index Department
111 E. Monroe
Springfield, IL 62756
217-782-7017
www.cyberdriveillinois.com
Return completed form to: Secretary of State, Index Department, 111 E. Monroe, Springfield, IL 62756 • 217-782-7017
A petition for a Local Option Election to be held on_____________________________________________________________________
in ___________________________________________________________________________________________________________
_____________________________________________________________________, Illinois, was filed ________________________
by __________________________________________________________________________________________________________
Number of Signers: _______________________
Proposal(s) to be Voted Upon: _____________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
___________________________________________________
Printed by authority of the State of Illinois. December 2009 — 50 — I 218
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State of Illinois Report of Filing Local Option (Illinois Secretary of State)

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Completed 28 August 2020

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