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Black Panther Party — Part 31
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STATE OF CALIFORNIA,
COUNTY OF ALAMEDA, CITY OF BERKELEY . =
dees eseeesserensereseens . being first duly sworn, on his. oath states:
Iam, and during all the time while soliciting signatures as hereinafter set forth was, a qualified
and registered elector of the above named County and City and of the State of California; 1am
the person who circulated the attached and foregoing section of the initiative petition of which said
section is a part and who solicited the signatures to the said section; { have circulated said section
in the County of Alameda, City of Berkeley, State of California; all of the signatures to the attached”
section were made in my presence and upon the date shown after each signature and were solicited
by me within the above named County gnd City of Berkeley, State of California; and to the best of my
knowledge and belief each signature to said dgction, is the genuine signature of the person whose
name it purports to be, and each such person to the best of my knowledge and belief is a qualified
elector of such County and City, and gbat_ all signatures to said section were secured by me.
Signed
Address...
eo. . Berkeley, Catiforn:
(Residential Voting Address}
Subscribed and sworn to before me this ...... 00.0. 00dAy Of cece eee eens eens 1968,
CONSY pibttic or other officer authorized to ad.”
minister oath under the laws of the State of
California
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