§ 19.512. Affidavit of service on board of elections.

 COMMONWEALTH OF PENNSYLVANIA
SS:        

      COUNTY OF DAUPHIN

 

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, being duly sworn according to law, says:

 That he resides at

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,

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County, Pennsylvania.

 That he is a Sergeant-at-Arms of the House of Representatives, Commonwealth of Pennsylvania, specially deputized.

 That he served on the Board of Elections of Allegheny County, on the

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day of

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, 1984, at

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o’clock, at its office in Pittsburgh, a writ for a special election for the office of Representative in the General Assembly for the Eighth Legislative District of the County of Allegheny, by command of the Honorable K. Leroy Irvis, Speaker of the House of Representatives of the Commonwealth of Pennsylvania.

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Sergeant-at-Arms    

Sworn and subscribed to
before me this

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day of

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, 1984

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