POLL WATCHER
Certificate

To Whom It May Concern:

Pursuant to provisions of Section 8-500 of the Election Law of the State of New York, the unndersigned hereby appointed: 


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to act as a Watcher on their behalf, at the Primary or General Election to be held on _______ in the _____ E.D., _____ AD, County of Suffolk, State of New York.

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Libertarian Party Candidate for____________________________