Pennsylvania Code
Title 101 - GENERAL ASSEMBLY
Part I - LEGISLATIVE REFERENCE BUREAU
Subpart C - LEGISLATIVE DRAFTING MANUAL
Chapter 19 - FORMS
Subchapter G - MISCELLANEOUS FORMS
GENERAL
Section 19.512 - Affidavit of service on board of elections

Universal Citation: 101 PA Code ยง 19.512
Current through Register Vol. 54, No. 44, November 2, 2024

COMMONWEALTH OF PENNSYLVANIA

SS:

COUNTY OF DAUPHIN

____________ , being duly sworn according to law, says:

That he resides at ____________ , ____________ 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 ___ day of ___ , 1984, at ___ 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.

____________

Sergeant-at-Arms

Sworn and subscribed to

before me this ___

day of ___ , 1984

____________

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