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Supplement No.1
We, The undersigned, Support the nomination of a federal list of candidates foe deputy of the State Duma from the election association «Justice» headed by:
1. Ivanov, Ivan Ivanovich, b. 1950, member of the Justice party, businessman, Moscow.
2. Petrov, Pyotr Petrovich, b. 1965, member of the Union of Justice Party, engeneer, Tver
3.
4.
A separate group of candidates from the «Middle North» group of regions is included in the list. The group is headed by:
1. Sergeyeva, Zoya Ivanovna, b, 1946, member of the Party of Equality and Freedom, accountant, Severnogorsk;
2. Modenov, Vassili Semyonovich, b. 1966, member of the Association of Free Activists, driver, Ravninny Village;
S. Votyakova, Renata Ibraguimovna, b. 1932, member of the Action Party, medical doctor, Ovrazhny Village.
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No. Full name Date of Birth Address ID No. Signature
1.
2.
This subscription sheet has been certifies 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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