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OFFICIAL BALLOT FOR THE TOWN OF MONUMENT EL PASO COUNTY, COLORADO REGULAR BIENNIAL MUNICIPAL MAIL BALLOT ELECTION APRIL 5, 2016 Town Clerk INSTRUCTION NOTE: Place and in the box to the right of the name of the candidate(s) you wish to vote for. TRUSTEE (VOTE FOR NOT MORE THAN FOUR) Shea Medlicott Becki Tooley Greg Coopman John H. Howe Jeffrey B. Bornstein Kevin J. Sorenson Tim Allen Don Wilson PER C.R.S. 31-10-910(2)(b): WARNING: ANY PERSON WHO, BY USE OF FORCE OR OTHER MEANS, UNDULY INFLUENCES AN ELIGIBLE ELECTOR TO VOTE IN ANY PARTICULAR MANNER OR TO REFRAIN FROM VOTING, OR WHO FALSELY MAKES, ALTERS, FORGES, OR COUNTERFEITS ANY MAIL BALLOT BEFORE OR AFTER IT HAS BEEN CAST, OR WHO DESTROYS, DEFACES, MUTILATES, OR TAMPERS WITH A BALLOT IS SUBJECT, UPON CONVICTION, TO IMPRISONMENT, OR TO A FINE, OR BOTH. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ DO NOT REMOVE STUB ---PAGE BREAK--- MAIL - IN BALLOT No. M.I.V. XXXX