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State of Illinois
Report of Local Option Election Results
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 Local Option Election was held on ____________________________________________________________________________,
in _________________________________________________________________________________________________________,
__________________________________________ Illinois, upon the following proposal(s): ___________________________________
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Number Voting Yes: ______________________________
Number Voting No: ______________________________
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Printed by authority of the State of Illinois. December 2009 — 50 — I 219
Month, Day, Year
County
City, Precinct, Township, Village
Official