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STATE OF CONNECTICUT MAR 1 4 2012STATE ELECTIONS ENFORCEMENT COMMl,SS,I!~N':7M'~;À'ìi.-t:¡f1N

20 Trinity Street Hartford, Connecticut 06106-16ilJfORi.¡:i~,~_.d ~Ui'i." .....,\J

Affidavit of Complaint COMPLAINT NO.._ 2 0 124

~ eo. ~~ , am a resident of \ vt ~~e.Print Name of Complainant Print Complainant's Street Address

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Town/City of ffow~cf , State of c,-r i (j ~~ \5Print State & Zip Coderint Town or City Name

and my Telephone Number is qCø 0 -q,r-O.. ~ ~ l hereby al lege and assert thatPrint Phone Number

the election laws of the State of Connecticut have been violated in the following manner,

place and time, as specified below:

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\ \f(J~ \etA I ~ +0 \J~fQ\ ~'Y~ Wl 't w ci 'N (? ~ 1ø 1c! ~ i. rJ 'l (, ~ +oiMoul iy

~ yo 'le v6l-d\\Q ~rf'. 'Jci~ L(lC\l Kt)OV\ ~ ~u ~\ ~ ~ \e '"'' W G'(G' (un(\\~ hJ id vJ~

~\~ '/~tCl ~s ~crr aJC\ft~Cl me ~ ,nt'idfC\d me a.(Use attached page(s) if necessary) \JYvt- A \ \I~ do \"~ 6rfn ~~ ~ d dI SOLEMNLY SWEAR (OR AFFIRM) THAT THE ABOVE STATEMENT JS TRUEAND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF.

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Dated this-=day of f'Q(~'" , 20Qat ~~~ef C-i,ti ~st 5~¿/~~L 'fl-f-" "

Note: This oath may be administered by anyone authorized by Section 1-24 ofthe Connecticut General Statutes, which includes notaries public; justices of thepeace, town clerks and assistant town clerks, judges and clerks of any court, andattorneys who are Commissioners of the Superior Court of Connecticut.

D. P. CONLON/liO 1/1 R l f'LBUC

MY COMMISSION EXPIRES MAY 31,2014

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