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Supplement No.2
Subscription Sheet
We, the undersigned support the nomination of Ivanov, Ivan Ivanovich, b. March 13, 1940, farmer, resident in the Konakovo District, Tver Region, as a candidate to the State Duma (Federation Council) from the 17th Central Constituency.
No. Full name Date of Birth Address ID No. Signature
1.
2.
This subscription sheet has been certified by:
___________________________________________________
(full name, address, ID No., signature) authorized representative of the election association:
(full name, address, ID No. signature)
(Executed in _______ on ________)
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