taceo catalog 2013
DESCRIPTION
Tennessee Elections Commission catalog of election supplies 2013TRANSCRIPT
711 Spence Lane, Nashville, Tennessee 37217Phone 615-366-6565 Toll Free 1-800-882-4444 Fax 615-367-0923
www.mcquiddy.com
Tennessee’s Most
Experienced Ballot Printers
For more than a century, McQuiddy Printing has been the trusted printer of Tennessee.
Located in the heart of Nashville, McQuiddy has served those exceptional businesses that appreciate quality, customer loyalty, service, and innovation. A proud member of the Nationwide Argosy Solutions family, McQuiddy is one of seven premier printing companies in the nation. With broad spectrum services ranging from diverse and top-notch printing technologies, to Nationwide’s proprietary, web-based e-fulfillment solution – Argosy, McQuiddy offers limitless and comprehensive capabilities. At McQuiddy, customer satisfaction isn’t just a goal – it’s the standard used to measure success. McQuiddy guarantees happy cus-tomers; its history proves it, and its future demands it.
McQuiddy Printing CompanyA Nationwide Argosy Solutions Company
711 Spence LaneNashville, Tennessee 37217
Office 615.366.6565Toll-Free 800.882.4444
Fax 615.367.0923www.mcquiddy.com
Nationwide Argosy Solutions2500 West Loop South, Suite 500
Houston, Texas 77027Office 713.961.4700Fax 713.961.4701www.nwas-llc.com
Argosy is McQuiddy’s proprietary software that allows users to log in with their personalized user information and order collateral as they need it. Users simply log in to the Tennessee Argosy site, select the pieces they wish to order, check out!
Ordering your county’s promotional materials and forms is now just a click away! Don’t remember what you ordered last year? Argosy does! Check previous orders and track your current ones! Know exactly when each ordered item is set to arrive.
Customize print materialsOrder any election materials from signs to forms and tags to buttons with your county name on them.
Generate Adobe PDF proofs on the flyPreview each item you order before ordering to ensure correct spelling and accurate imagery.
Order Print on Demand ItemsOnly order what you need! Order items to arrive when you are running low so you never run out of stock.
Consistent Tennessee BrandingMcQuiddy has been a printing partner for the state of Tennessee for over 50 years. We have all the state approved artwork so you can be sure all printed items are in compliance.
1
2
3
Address
step 1
step 1 Each county logs in with their individual log in and password.
step 2 OrderOrders for pieces are placed by quantity.
Address
step 2
Or r
12000envelopes
signs250000
(100 ft. or 300 ft.)
PROHIBITED BEYOND THIS POINT!Display of campaign posters, signs or other campaign materials, distribution of campaign
materials and solicitation of votes.
McQUIDDY E-4
E-4
PCS-34
Address
step 3
step 3 Done! Personalized county forms, signs, flags, or buttons are mailed out and a confirmation e-mail is sent with tracking information.
I grew up in McNairy County, Tennessee, moving to Nashville to attend Business College. After completing a course in accounting, I joined McQuiddy Printing Company as a cost accountant, and after about five years was promoted to Comptroller. I stayed in that position until 1968 when I became a part of the Sales Force and that is where I have remained for over 50 years. I have many years of experience in dealing with Commercial Accounts in Tennessee and other states, and a won-derful working relationship with the Election Commissions throughout the State of Tennessee.
We take great pride in the friendship we have established with the Secretary of State and Coordinator’s office for many years. We have been printing Ballots for approximately 50 years. We have had a unique working relationship with the administrator’s of Election and the Election Commissions in the state of Tennessee for many years. Our relation-ship is more than a printer/customer relationship, we first establish a
friendship of trust and belief and then we proceed with the printing process. We take great pride in printing ballots for our customers, delivering them in ample time to meet their requirements.
We treasure our relationship to our election materials clients and look forward to many more years of a strong and mutually rewarding relationship.
My history with McQuiddy actually goes back to when I was a small child. My grandfather retired from McQuiddy after 58 years of service. I have some of the fondest memories hanging out with him many times on Sat-urdays while he was earning a little overtime. I am as excited as I have been in many years to have my lifelong dream finally come true. I am now employed with McQuiddy as the VP of Sales and am very fortunate to be leading a strong and passionate sales team. I am pleased to offer the State of Tennessee the best service and printed materials for the Election Commissions and look forward to a long and lasting relationship.
While I don’t have the same history with McQuiddy as Bart and Ron do, I have just the same enthusiasm for providing all election materials in a timely manner, from lapel pins to application forms. As part of the Argosy team, my job is to provide a solution for your election supply needs. Any need you have not listed in the following pages can be answered with a simple call to Ron, Bart, or myself. Please don’t hesitate to reach out to us with any special needs.
Your Argosy Support
YOUR ACCOUNT EXECUTIVE
YOUR ARGOSY SUPPORT
TAGS
SEALS
SIGNS
FLAGS
PAPER BALLOTS
PINS AND BUTTONS
DOCUMENTS
FORMS
ENVELOPES
APPLICATIONS TO VOTE
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12
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23
25
Form E-19“Do Not Break Seal” Tag(Until Polls Are Closed)
Commissioners of Elections for _________ County
N O T I C EDo Not Break This SealUntil Polls Are Closed
Form PR-3 EnvelopeForm PCS-30 Warning! No One But The Voter Size: 14-1/2 x 22-1/2
“WARNING!No one but the
VOTER HIMSELFmay touch a voter’s
ballot for any purposeafter he has received it.”
PCS-30 PCR 1360-2-6-03
Form E-22 Murry Seals
Form E-20Numbered Lock Seals
Form E-21Lock Seals(Not Numbered )
TAGS
Form E-36
ELECTION OFFICIALName: _______________________________
Title: ________________________________
Date: ________________________________Form E-26 — McQuiddy
Form E-24“Break Seals” Tag(To Put in Operation)
N O T I C EAfter Inspection, This Seal Must Be Broken to Put the
Machine in OperationCommissioners of Elections
For _______________________________ County
Form E-23 “Do Not Break Seals” Tag (At Any Time)
NOTICEDO NOT BREAK THIS SEAL
AT A NY TIMEBOARD OF ELECTIONS
Form E-19“Do Not Break Seal” Tag(Until Polls Are Closed)
Commissioners of Elections for _________ County
N O T I C EDo Not Break This SealUntil Polls Are Closed
TAGS
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Form E-23 “Do Not Break Seals” Tag (At Any Time)SKU# TCE-FE23
Form E-24“Break Seals” Tag(To Put in Operation)SKU# TCE-FE24
Form E-19“Do Not Break Seal” Tag(Until Polls Are Closed)SKU# TCE-FE19
Form E-36 Election Official BadgeSKU# TCE-FE36
Form E-22 Murry Seals
Form E-20Numbered Lock Seals
Form E-21Lock Seals(Not Numbered )
SEALS
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SEALS
Form E-19“Do Not Break Seal” Tag(Until Polls Are Closed)
Commissioners of Elections for _________ County
N O T I C EDo Not Break This SealUntil Polls Are Closed
Form E-22Murry SealsSKU# TCE-FE22
Form E-20Numbered Lock SealsSKU# TCE-FE20
Form E-21Lock Seals (Not Numbered)SKU# TCE-FE21
SIGNS
SIGNS
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Form S-2 Candidate If You ... Size: 15 x 21SKU# TCE-FS2
Form S-9 Alphabet Sign... Size: 9 x 12SKU# TCE-FS9
Form S-3 Stop This Is A Primary Election Size: 13 x 13SKU# TCE-FS3
SIGNS
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Form S-6 Please Have Voter Registration Card or Other ID Ready Size: 14 x 12SKU# TCE-FS6
Form PCS-33 Stop Here Demo Machine Size: 14-1/2 x 22-1/2SKU# TCE-FPCS33
Form S-11 Warning Illegal Voting Size: 15 x 19SKU# TCE-FS11
SIGNS
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Form PCS-38 Exit Promptly Size: 14-1/2 x 22-1/2SKU# TCE-FPCS38
Form PCS-32 Candidates If You Are ... Size: 14-1/2 x 22-1/2SKU# TCE-FPCS32
Form PCS-36 Vote Here Size: 14-1/2 x 22-1/2SKU# TCE-FPCS36
Photo ID Sign (Plain)SKU# TCE-FEL3
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SIGNS
7
Form S-27 Notice During The Period ... Size: 11-1/2 x 19SKU# TCE-FS27
Form E-10 Ballot Box StickerSKU# TCE-FE10Form PCS-35 Please Check The Back
Size: 14-1/2 x 22-1/2SKU# TCE-FPCS35
Form S-13 Exit Promptly Size: 15 x 9SKU# TCE-FS13
SIGNS
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Form E-4 Boundary MarkersSKU# TCE-FE4
Form PCS-31 Please Have Registration Size:14-1/2 x 22-1/2SKU# TCE-FPCS31
Form PCS-30 Warning! No One But The Voter Size: 14-1/2 x 22-1/2SKU# TCE-FPCS30
Form S-10 Notice to Campaign Workers SKU# TCE-FS10
PAPER BALLOTS
9
PAPER BALLOTS These are examples. Please contact us for information about available products.
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FLAGS
FLAGS
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These are examples.
Please contact us for
information about
available products.
US Flags SKU# TCE-FL
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FLAGS
11
SKU# TCE-FL-KIT
PINS AND BUTTONS
PINS AND BUTTONS
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SKU# TCE-PINS-BTNS
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DOCUMENTS
13
DOCUMENTS
OFFICE OF THE
Board of Election Commissioners
for _____________________ county, tn.
D EAR S IR :
-
tion as a ____________________________________________________ to hold the election for
etc., at __________________________ Precinct, _________________________ District, on the
____________________ day of __________________________, 20 _____, between the hours of
______________ o’clock A.M. and _____________ o’clock P.M. If you cannot serve, notify the
Registrar-at-Large immediately.
This the __________________ day of ______________________________, 20 ____.
Form E9—McQuiddy
(344929)
Secretary of Board of Election Commissioners for _________________________________ County, TN.
Form E-9 Notice of Appointment of
________________________, Chairman, Board of Election Commissioners, ____________________ County, Tennessee.Dear Sir: failed to appear and discharge their duties to hold the election in______________Ward, ______________ Precinct, ______________ District, on ________________________
SIGNED:
FORM E7 McQUIDDY PRINTING CO., NASHVILLE, TN
E-7
Form E-51 Election Return Books
E L E C T I O N R E T U R N SFOR
_______ DISTRICT ______ WARD _____________Precinct,
_______________ COUNTY, TENNESSEE
Held ____________________, 20___ Total Vote ________
All Returns must be forwarded in time to reach _____________
at _____________ before 12 o’clock, Noon, on the ____ day of
__________________, 20___
IF USED FOR PRIMARY ELECTION, WRITE IN THE WORD PRIMARY ON BLANK LINE AT HEAD.
NOTI C E—In the back of this Poll List you will
find an Extra Large Tally Sheet
for use when necessary.
FORM E-51 — McQuiddy — Nashville
PAY ROLL This Sheet must be signed by each official of the Election and returned with Registration Book to
Judges
“ ”
“ ”
Machine Operator
“ ”
“ ”
“ ”
Officer Holding Election
E-8
Form E-9 Notice of Appointment of Election Officers (U.S. Government Stamped Postals)SKU# TCE-FE9
E-7 SKU# TCE-FE7
E-8 SKU# TCE-FE8
Form E-51 Election Return BooksSKU# TCE-FE51
DOCUMENTS
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CERTIFIED LIST OF REGISTERED VOTERS, COUNTY, TENN.Precinct FOR THE YEAR 20
REGISTRATIONNUMBER
LASTNAME
FIRSTNAME
MIDDLEINITIAL
STREET , R .F .D. OR OTHER DESC . TOWN DIST .NO .
Form E-31
Form E-32
CERTIFIED
LIST OF REGISTERED VOTERS ____, 20
In District No. ___________ Precinct
_______________ County, Tennessee
NOTE: The law requires that this List of Registered Voters in each district and voting precinct shall be furnished the Primary Election Commission
dna noitcelE lareneG nehw ecalp gnillop hcae dnaPrimary Election are held upon the same date. (Chapter 1*2, Public Acts of 1949.)
(Sold by McQuiddy Printing Company, Nashville, Tennessee)
Form TC1/1985
Form E-11 Election CertificateSKU# TCE-FE11
Form TC1/1985 Technician’s CertificateSKU# TCE-FTC1
Form E-31 List of Registered VotersSKU# TCE-FE31
Form E-32 Certified List CoversSKU# TCE-FE32
City of Sparta, Tennessee Be it Known, That after canvassing the official returns as required by law of an election held in City of Sparta, Tennessee, on _________________ __M __________________________wasduly and legally elected to the office of _______________________________Witness our signatures, this _________day of _____________ ____
White County Election Commission
______________ County, Tennessee
Be it known, That after canvassing the official returns as required by law of an election held in ___________ County, Tennessee, on ____________ 20___ M______________________ was duly and legally elected to the office of_______________________________Witness our signatures, this _________ day of ______________ 20___
________________________County Election Commission
________________________________________________ChaiRman
________________________________________________SeCRetaRy
________________________________________________membeR
________________________________________________membeR
________________________________________________membeR
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DOCUMENTS
15
If More than 145 Votes are cast for any one Candidate, Allow 2 Lines Form E-14 McQuiddy
Counting Record Sheets (In Duplicate) For Paper Ballots Count Vote
5N A M E S O F C A N D I D A T E S O F F I C E 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140 145TOTAL
(Use INK More)
Form E-14 Record Sheets for Counting Paper Ballots
WRITE-IN VOTE
We hereby certify before the Polls were opened, we carefully examined
each of the Candidate’s counters, and public counters and found all Candi -
date’s counters and public counters were an 000.
Machine No.
Protective Counter No.*PollsOpen
PollsClosed
SealNo.
Public**Counter
Polls Closed
COUNTERVOTE TOT AL
WRITE-IN
DISTRICT
WARD
PRECINCT
OFFICIAL RETURN SHEETELECTION
COUNTY
, , 20
Form E-34
Form VMD/1987
Precinct Officials Voting Machine DocumentDate ____________________________ District _______________________
Machine Number __________________________ Precinct _______________________
After A.M. inspection, was the machine acceptable for service?
Yes ____ No ____ If no, describe: _______________________________________________________
Free Key Use:
Reason ____________________________________________________________________________
Reason ____________________________________________________________________________
Reason ____________________________________________________________________________
If the machine was removed from service:
Reason ____________________________________________________________________________
Time A.M. _________ P.M. __________
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Technician’s Document(service calls)
Arrival Time ___________ PC reading _________ Departure Time ___________ PC reading __________
Service Performed ______________________________________________________________________
Was machine returned to service? Yes ____ No ____
Was machine activated? Yes ____ No ____ Number of times? ___________
Was the back door seal broken for service? Yes ____ No ____ Seal replacement number ___________
______________________________________ Technician’s signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Arrival Time ___________ PC reading _________ Departure Time ___________ PC reading __________
Service Performed ______________________________________________________________________
Was machine returned to service? Yes ____ No ____
Was machine activated? Yes ____ No ____ Number of times? ___________
Was the back door seal broken for service? Yes ____ No ____ Seal replacement number ___________
______________________________________ Technician’s signature
McQuiddy — Form No. VMD/2010 ATTACH TO CERTIFICATE OF RESULTS
Form E-34 Official Returns SheetSKU# TCE-FE34
Form E-14 Record Sheets for Counting Paper BallotsSKU# TCE-FE14
Form VMD/1987 Precinct Officials Voting Machine DocumentSKU# TCE-FVD
FORMS
Form E-2 Poll Lists (Duplicate Set)
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2
3
4
5
6
7
Voter’s Name (Own Signature) Xxx. Xxx.Xxx.
Xxx.Xxx.
Registrar’s Initial in Last Column
Page No.
Date 20
District
Precinct Ward
Between the Hours of and
Form E-2 McQuiddy, NashvillePOLL LIST
CHANGE OF ADDRESSName printed Registration or typed .................................................................................................................. Number ....................................
(Last Name) (First Name) (Middle Initial)
Please change my address from:
................................................................................................ in the.............. Dist............ Ward ............ Precinct (No., Street, R.F.D. or other description)to:
................................................................................................ in the.............. Dist............ Ward ............ Precinct (No., Street, R.F.D. or other description)
Date ..........................................., 20 ............. Signed ......................................................................................
F O R O F F I C E U S E O N LY
Address changed on Original Record............................, 20 ......... .................................................................
Address changed on Duplicate Record and form placed in new District Ward or Precinct book
......................................, 20 ................. ..........................................................................
Remarks ..................................................................................................................................................................................................
Clerk
Clerk
McQuiddy Printing Co. E-33
Change of Address Form.indd 1 10/11/11 7:17 PMForm E-33 Change of Address
Front
Back
COUNTY CITY SCHOOL STATE STATE US DISTRICT WARD DISTRICT HOUSE SENATE CONGRESS
DATE REGISTERED REGISTRATION TYPE ( In Person / By Mail)
DATE OF BIRTH CARD PRINTED
PRECINCT
VOTINGLOCATION
SS-3006 (Rev. 10-11)
The above is entitled to vote on and after the issuance of this card, provided the registrationhas not become void.
VOTER’S SIGNATURE Administrator of Elections
FEDERAL OR STATE GOVERNMENT ISSUED PHOTO ID ISREQUIRED TO VOTE UNLESS EXCEPTION APPLIES
COUNTY, TN VOTER REGISTRATION CARD ID#
CUT ON THE DASH LINE
FO
LD L
INE
COUNTY CITY SCHOOL STATE STATE US DISTRICT WARD DISTRICT HOUSE SENATE CONGRESS
DATE REGISTERED REGISTRATION TYPE ( In Person / By Mail)
DATE OF BIRTH CARD PRINTED
PRECINCT
VOTINGLOCATION
The above is entitled to vote on and after the issuance of this card, provided the registrationhas not become void.
FEDERAL OR STATE GOVERNMENT ISSUED PHOTO ID ISREQUIRED TO VOTE UNLESS EXCEPTION APPLIES
COUNTY, TN VOTER REGISTRATION CARD ID#
CUT ON THE DASH LINE
FO
LD L
INE
Form PR-3 ContinuousForms Printed 2/Sides
ACTS PURGING REGISTRATION
THE REGISTRATION OF A PERSON SHALL BE PURGED AS SOON AS THEELECTION COMMISSION HAS KNOWL-EDGE OF ANY OF THE FOLLOWING FACTS. IF A PERSON:A. Requests to be purged;
noissimmoc eht yfiton ot sliaF .Bwithin ninety (90) days of a changeof name for any reason, except bymarriage, or divorce;
fo doirep a revo etov ot stcelgeN .Ctwo (2) consecutive regular Novemberelections and fails to notifycommission of change of addressafter request for information sent byelection commission;
D. Dies;emirc suomafni yna fo detcivnoc sI .E
(felony);F. Is not a U.S. citizen.
INFORMATION FOR THE ILLITERATE,PHYSICALLY DISABLED, OR VISUALLY
IMPAIRED VOTER
A voter who declares that by reason ofilliteracy, physical disability, or visualimpairment, he is unable to mark theballot to cast his vote as desired and who, in the judgment of the of� cerof elections, is illiterate, physicallydisabled, or visually impaired, mayhave his ballot marked on a votingmachine or on a paper ballot subject to the provisions of Section 2-7-117 by any person of the voter’s selection or by one (1) of the judges of his choice in the presence of either a judge of a different political party or, if such judge is not available, an election of� cial of a different political party.
FEDERAL OR STATE GOVERNMENT ISSUED PHOTO ID ISREQUIRED TO VOTE UNLESS EXCEPTION APPLIES
IF YOU CHANGE YOUR ADDRESS INSIDE THISCOUNTY, PLEASE FILL OUT & MAIL TO:
COUNTY ELECTION COMMISSION
NEW ADDRESS
MAILING ADDRESS
SIGNATURE AS SHOWN ON REVERSE SIDE
PHONE DATE
FORMS
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Form E-2 Poll Lists (Duplicate Set)SKU# TCE-FE2
Form E-33 Change of AddressSKU# TCE-FE33
Front
Back
Form PR-3 Continuous Forms Printed 2/SidesSKU# TCE-FPR3
Back
Front
TRANSFERRED TO NEW ADDRESS
DateClerkWard orCountyPrecinct
Street, Road or R.F.D. No.House No.
DATE CRIME(S) STATE
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
YearPrimary Elections General Elections City Elections
Party Ballot No. AugustBallot No.
NovemberBallot No.
PrimaryBallot No.
RegularBallot No.
OtherElectionsBallot No.
VOTING RECORD
Form PR-1 Voter Registration Cards (One Part) – Continuous
Form PR-2 Voter Registration Cards (Two Parts) – Continuous
OUT
ARE YOU A NATIVE BORN, OR HAVE YOU BEEN A RESIDENT OF THE STATE NATURALIZED CITIZEN? OF TENNESSEE FOR 20 DAYS OR MORE?1 YES ____ NO ____ 2 YES ____ NO ____
HAVE YOU EVER BEEN CONVICTED OF A CRIME WHICH IS A FELONY IN THIS STATE, YESBY A COURT IN THIS STATE, A COURT OF ANOTHER STATE, OR A FEDERAL COURT? NO
IF THE ANSWER TO QUESTION 9 IS “YES” LIST THE CRIME, OR CRIMES, FOR WHICH YOU WERE CONVICTED, AND DATE OR DATES, OF CONVICTION (SPACE AVAILABLE ON REVERSE SIDE.)?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
FIRST MIDDLE INITIALLAST NAME
STREET OR ROADHOUSE OR APT. NO. RTE. AND BOX NO.
STATE ZIPCITY
COMMUNITY OR NEIGHBORHOOD OR NEAREST CROSS STREET
HOUSE OR APT. NO. RTE. AND BOX NO. STREET OR ROAD
STATE ZIPCITY
OCCUPATION SOCIAL SECURITY NO.HOME PHONE
MONTH YEARDAY STATE
RACE
CITY
COUNTY STATECITY
YOUR MAIDENNAME IF YOU WEREPREVIOUSLY REGISTERED
DATE AND
PLACE OF BIRTH
WHERE WEREYOU LASTREGISTEREDTO VOTE
HABITATION ORMAILING ADDRESSIF DIFFERENTFROM LEGAL RESIDENCE
LEGALRESIDENCE
MR.MRS.MS.
ORI
GIN
AL
PR-1
SS-3
003
PERM
ANEN
T RE
GIST
RATIO
N RE
CORD
RESID
ENCE
DO NOT WRITE IN SHADED AREA DISTREG# EFF DATE
WARD
APPROVED PRECINCT
IF THE ANSWER TO QUESTION 9 IS “YES” HAVE YOU RECEIVED A PARDON YESOR HAD YOUR FULL RIGHTS OF CITIZENSHIP RESTORED BY A COURT FOR NOALL CRIMES LISTED?
IF REGISTRANT SIGNS BY HIS MARK, OR CANNOT SIGN AT ALL, FILL IN THE FOLLOWING INFORMATION:
DISTINGUISHING MARKS OR FEATURESHAIR COLORCOLOR EYESHEIGHTFT. INCHES
I plan to remain at such residence for an undetermined period of time and say that to the best of my knowledgeand belief all of the foregoing statements made by me are true.
DATE SIGNATURE (OR MARK) OF APPLICANT
SWORN TO AND SUBSCRIBED TO BEFORE ME THIS
DAY OF , 20 .
SIGNATURE OF REGISTRAR OR OTHER PERSON TAKING AFFIDAVIT
OFFICIAL POSITION
NAME
NAME
SIGNATURES OF PRECINCT REGISTRARS
11.
12.
13.
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FORMS
Form PR-1 Voter Registration Cards (One Part) - Continuous SKU# TCE-FPR1Form PR-2 Voter Registration Cards (Two Parts) - Continuous
Front
Back
FORMS
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Verification Form- Continuous SKU# TCE-FVFY-C
Front
Back
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FORMS
Front
Back
Confirmation Form- ContinuousSKU# TCE-FCNF-C
FORMS
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Laser Voter Verification FormSKU# TCE-FVFY-8x11-L
Front Back
Laser Voter Confirmation FormSKU# TCE-FCNF8x11-L
Front Back
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FORMS
Perforate
Form PC-1 Pay Card
Front
Back
Perforate
Fail-Safe Affidavit Fail-Safe Affidavit Form 2
FORMS
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Fail-Safe Affidavit Fail-Safe Affidavit Form 2
Fail - Safe Affidavit Form 2SKU# TCE-F2
Fail - Safe AffidavitSKU# TCE-F1
ENVELOPES
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ENVELOPES
Form E-28 Envelope Spoiled Ballots
PRECINCT
ELECTION DATE 20
Form E-28
SPOILED BALLOTS
PAPER BALLOTS
Form E-30 Envelope Paper Ballots
PROCEDURE FOR COUNTING PAPER BALLOTS:1. The judges shall open the ballot box in the presence of the watchers and all other persons who are present.
2. The judges alternate in drawing ballots from the box and fo seman eht segduj rehto eht fo thgis nihtiw duola gnidaer
the persons who have been voted for on each ballot.
3. The registrars shall record the votes on the tally sheets.
4. ot snosrep era ereht naht seman erom skram retov eht fIbe elected to an office, or if for any reason it is impossible to determine the voter’s choice for any office to be filled or on a question, his ballot shall not be counted for such office and shall be marked “Uncounted” beside the office and be signed by the judges. It shall be counted so far as it is properly marked.
5. hcae rof setov eht etupmoc neht llahs segduj ehT eht no slatot eht retne llahs dna noitseuq ro etadidnac
duplicate tally sheets in ink.
6. dna tcerroc deifitrec eb llahs steehs yllat etacilpud ehTsigned by the officer of elections and each judge and shall be placed in the poll books.
7. Record the paper ballot vote in the proper column on the Certificate of Results.
8. hcae ni no detov stollab repap fo rebmun eht tnuoC ).cte ,noitcelE laicepS ,yramirP citarcomeD sa hcus( noitcele
and record the information on this envelope. Then place all ballots (counted and rejected bound sepa-rately) in the envelope and seal the envelope. Each official involved in the counting of these ballots then signs the envelope which will remain sealed for six (6) months unless opened on court order.
District Precinct
Date of Election
Officer of Elections
Judge
Judge
Judge
Registrar
Registrar
Election
No.CountedBallots
No.RejectedBallots
Form E-17 Envelope for The Return of Key for V.M.
ENVELOPE FOR THE RETURN OF KEY FOR VOTING MACHINEWE HEREBY CERTIFY, The enclosed key belongs to Voting Machine No. ______________________
which has been used in the Election this day held at_______________________ Precinct ______________ District of ______________________ County, TN. Opening ClosingThe number on the Public Counter was - - - - - - -
The number on the Protective Counter was - - - - -
The number on the paper roll was - - - - - - - - -
Judges Date 20
This envelope should be sealed in the presence of the election officers, the certificate properly madeby them and the envelope then promptly delivered by the Judge to the proper authorities.
Form E-17-VM 237869 McQuiddy • Nashville
Form E-30 Envelope Paper BallotsSKU# TCE-FE30
Form E-28 Envelope Spoiled BallotsSKU# TCE-FE28
Form E-17 Envelope for The Return of key for V.M.SKU# TCE-FE17
PRECINCT ELECTION
DATE 20
REASON FOR REJECTION
Judge’s Signature Judge’s Signature Judge’s Signature
Officer’s SignatureForm E-27 McQuiddy - Nashville
Form E-27 Envelope Rejected Ballot
REJECTED BALLOT
Form E-27 Envelope Rejected BallotSKU# TCE-FE27
Form E-18 Envelope for V.M. Door Key
This Envelope Contains Keys of VotingMachines to Be Used in
District Precinct Ward as follows:
Voting Machine Protective Counter Number Seal Paper Roll Number Open Close Number Number
SEE OTHER SIDE FOR INSTRUCTIONS
E-18
Form PR-3 Envelope
POLL BOOK
_____________________________________________________________ Election
________________________ (Ward) District ______________________ Precinct
________________________________ County
Date Held _____________________, 20 ___ Total Vote ___________
FORM E2CMcQUIDDY • NASHVILLE
Form E-2C Poll List Covers (complete w/fastener)
FORM E-3
NOTICE: The Election Returns and one Poll List must be enclosedherein and mailed to
E-3
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E-1
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Form E-13 Envelopes for Election (outgoing 13 x 17)
ENVELOPES
2 WAYS TO ORDER: MYARGOSY.COM // 615-366-656524
Form E-2C Poll List Covers (complete w/ fastener)SKU# TCE-FE2C
Form E-13 Envelopes for Election (outgoing 13 x 17)SKU# TCE-FE13
Form E-18 Envelope for V.M. Door KeySKU# TCE-FE18
E-3SKU# TCE-FE3
Form PR-3 EnvelopeSKU# TCE-FPR3E
Form E-15A Sectional Post Binder
2 WAYS TO ORDER: MYARGOSY.COM // 615-366-6565
APPLICATIONS TO VOTE
25
APPLICATIONS TO VOTE
E-15C
___________________________________________ ELECTION
Held on ______________________________________, 20____
in the _______________ district _________________ precinct
_____________________________________________ COUNTY
_____________________ ward of
Ballot Numbers __________ to ___________
Cover for Form #-15C 243493 McQuiddy • Nashville
Form E-16 Application for PermanentRegistration of Absentee
Form E-16 McQUIDDY PRINTING CO. NASHVILLE
TO THE ELECTION COMMISSIONERS OF _____________________________________ COUNTY, TENNESSEE: Being required by reason of ______________________ to be absent from the City and County of myresidence, I hereby make application for permanent registration in accordance with the provisions of Chapter No. 172, Public Acts of 1949 for which the following information is respectfully submitted:My full name is (Mr.) (Mrs.) (Miss) _______________________________________Address __________________________________________________________________________________
(No., Street, R.F.D., Apt. No. or other description, City or Town)Civil District __________________ Ward __________________ Precinct ____________________________I am twenty-one years of age or over, or will be prior to the holding of the next election; I am a citizen of the United States and of the State of Tennessee; I have resided in the State of Tennessee for at least one year and in the County for at least six months, immediately preceding the next general election. ❃ Native born CitizenI am a ❃ Citizen by naturalization My color _________________________________I was last registered in _________________ District _________________ Ward _________________ Precinctin ___________________________________________(Town or City) _________________________County
❃ MarriedI am ❃ Single My vocation __________________________________________________ (have)I (have not) been as a voter by a judgment or decree of any Court. (If applicant has been asa voter, give date and name of Court by which reinstated.) Date _________________________________Court ______________________________________
Signed ___________________________________________ Complete address to which Registration should be mailed:__________________________________ __________________________________ __________________________________
STATE OF _______________________________, COUNTY OF ____________________________________
Sworn to and subscribed before me this the ___________ day of _____________________, 20_____ in the City of ______________________________, State of ____________________________.
_______________________________________ (Any authorized to administer oaths)
Title ___________________________________If Notary Public,My commission expires _________________________
(SEAL)
APPLICATION FOR PERMANENT REGISTRATION OF ABSENTEE
Election Date
APPLICATION TO VOTE
Application No.
PRINTName asRegistered
CurrentResidentialAddress
Street Address (No., Name, Rd., Apt.)
City Zip
OATH OF VOTER:“I declare that I reside at the above address. I am a registered voter ofthis county and I request to vote in the elections checked. I also declarethat I have not previously voted in this election, nor will I attempt to voteat any other polling place on election day.”
XSignature of Voter as Registered
General
Primary:Democratic
Republican
Municipal
Other
FS PB
VM Ballot
Registrar Initials
VM
PAPER BALLOT
# ______________
“Therefore, I declare, under penalty of perjury, that I reside at the aboveaddress; I (HAVE NOT) (HAVE) changed my address since the last election in which I voted; I am a registered voter of the county; and I desire to vote. I also declare that I have not previously voted in this election, nor will I attempt to vote at any other polling place on Election Day.”
OATH OF VOTER: Circle appropriate option and sign below:
Signature of Voter as RegisteredID REQUIRED TCA 2-7-112(c)E-15
X
Form E-15 Application to vote version 1
Election Date
APPLICATION TO VOTE
Application No.
PRINTName asRegistered
CurrentResidentialAddress
Street Address (No., Name, Rd., Apt.)
City Zip
OATH OF VOTER:“I declare that I reside at the above address. I am a registered voter ofthis county and I request to vote in the elections checked. I also declarethat I have not previously voted in this election, nor will I attempt to voteat any other polling place on election day.”
XSignature of Voter as Registered
General
Primary:Democratic
Republican
Municipal
Other
FS PB
VM Ballot
Registrar Initials
“Therefore, I declare, under penalty of perjury, that I reside at the aboveaddress; I (HAVE NOT) (HAVE) changed my address since the last election in which I voted; I am a registered voter of the county; and I desire to vote. I also declare that I have not previously voted in this election, nor will I attempt to vote at any other polling place on Election Day.”
PB
VM BALLOT
#
#
#
#
Election Date
APPLICATION TO VOTE
Application No.
PRINTName asRegistered
CurrentResidentialAddress
Street Address (No., Name, Rd., Apt.)
City Zip
OATH OF VOTER:“I declare that I reside at the above address. I am a registered voter ofthis county and I request to vote in the elections checked. I also declarethat I have not previously voted in this election, nor will I attempt to voteat any other polling place on election day.”
XSignature of Voter as Registered
General
Primary:Democratic
Republican
Municipal
Other
FS PB
VM Ballot
Registrar Initials
VM
PAPER BALLOT
# ______________
“Therefore, I declare, under penalty of perjury, that I reside at the aboveaddress; I (HAVE NOT) (HAVE) changed my address since the last election in which I voted; I am a registered voter of the county; and I desire to vote. I also declare that I have not previously voted in this election, nor will I attempt to vote at any other polling place on Election Day.”
OATH OF VOTER: Circle appropriate option and sign below:
Signature of Voter as RegisteredID REQUIRED TCA 2-7-112(c)E-15
X
Form E-15 Application to vote version 2
Form E-15 Application to vote version 1SKU# TCE-FE15_1
Form E-15 Application to vote version 2SKU# TCE-FE15_2
Form E-15 Application for PermanentRegistration of AbsenteeSKU# TCE-FE16
E-15CSKU# TCE-FE15C
Supplies
Form E-15A Sectional Post BinderSKU# TCE-FE15A
APPLICATIONS TO VOTE
2 WAYS TO ORDER: MYARGOSY.COM // 615-366-656526
Form EV Early Voting – Continuous (Two Parts)
Assistance Signature: (Required if voter cannot sign name or if assistance is given.)
The signatures above have been compared with the permanent registration records and (are) (are not) the same.
[ ] Application accepted and supplies furnished.
[ ] Application rejected because ________________________________________________________________________________________________
BELOW INFORMATION FOR ELECTION COMMISSION USE ONLY
Registrar or Deputy’s Signature Date
DateSignature of VoterX
NOTICE: A PERSON WHO APPLIES TO VOTE ABSENTEE BY PERSONAL APPEARANCE WHO IS NOT ENTITLED TO DO SO COMMITS A FELONY PUNISHABLE BY NOT LESS THAN ONE (1) YEAR NOR MORE THAN SIX (6) YEARS IMPRISONMENT AND MAY BE FURTHER FINED UP TO $3,000 .
Signature of Person Assisting Address Date
Signature of Witness Address Date
Check this box if the address above di�ers from the address on your voter registration card.
Last Name First M.I.
Address of Residence
City or Town Zip
Social Security Number Date of Birth
Registraton No. __________________ APPLICATION EARLY VOTINGBY PERSONAL APPEARANCE Application No. _______________
Emergency hospitalization within the county.I will be absent due to service of process or subpoena.I will be absent from the state or county on election day due to death of a relative.I am a full-time resident of a licensed nursing home, home for the aged, or similar licensedinstitution providing relatively permanent domicillary care.
OATH OF VOTER (Circle appropriate option and sign below:) degnahc )evah( )ton evah( I ,sserdda evoba eht ta ediser I taht eracled I ,eroferehT“ eht fo retov deretsiger a ma I ;detov I hcihw ni noitcele tsal eht ecnis sserdda ym ni detov ylsuoiverp ton evah I taht eralced osla I .ylrae etov ot erised dna ;ytnuoc
this election, nor will I attempt to vote at my polling place on election day.”
Elections: Ballot Number: District:[ ] General Primary: Precinct:[ ] Democratic[ ] Republican Ward:
[ ] Municipal[ ] Referendum[ ] Other: Date of Election: [ ] Special School DistSpecial Absentee Voting: (If applicable)
Form EV- Early Voting - Continuous (Two Parts)SKU# TCE-EL271
Form E-15 Application to Vote (2012)SKU# TCE-FE15_2012_App2Vote
APPLICATION FOR BALLOTELECTION DATE APPLICATION NO.
PRINT NAME OFVOTER HERE
RESIDENTIALADDRESS ASREGISTERED Street Address or Rt. Box No. and Rd.
City Zip PRIMARY:DEMOCRATICREPUBLICAN
Circle appropriate option and sign below:
Therefore, I declare that I reside at the above address; I (HAVE NOT) (HAVE) changed myaddress since the last election in which I voted; I am a registered voter of the county; and Idesire to vote. I also declare that I have not previously voted in this election, norwill I attempt to vote at any other polling place on election day.
XSignature of Voter as Registered
E-15 ID REQUIRED TCA 2-7-112(C)
WRITE-IN BALLOT NO.(IF USED)
GENERALELECTION
MUNICIPALELECTION
REFERENDUM
OTHERELECTION
REGISTRAR’SINITIALS
Street Address or Rt. Box No. and Rd.
City Zip Phone
CHANGE OFRESIDENTIALADDRESS
ID REQUIRED TCA 2-7-112(c)
X
OATH OF VOTER: Circle appropriate option and sign below:
Form E-15 Application to vote version 3Form E-15 Application to vote version 3SKU# TCE-FE15_3
APPLICATION TO VOTEElection Date Application No.
Federal or State Government Issued Photo ID RequiredPRINTName asRegistered
CurrentResidentialAddress
Street Address (No., Name, Rd., Apt.)
City Zip
OATH OF VOTER: Circle Appropriate option and sign below:“Therefore, I declare, under penalty of perjury, that I reside at the aboveaddress: I (HAVE NOT) (HAVE) changed my address since the lastelection in which I voted; I am a registered voter of the county; and I desire to vote. I also declare that I have not previously voted in this election, nor will Iattempt to vote any other polling place on Election Day.”
Signature of Voter as RegisteredID REQUIRED TCA 2-7-112(c)E-15
X
General Primary: Democratic
Republican
Municipal
Other
POLL OFFICER ONLYPhoto ID:
Yes No• Exception
Religious objection
Indigent
FS VM
Provisional Voter PAPER BALLOT
#__________________Registrar Initials
2012 E-15 App to Vote.indd 1 6/26/12 11:03 AM
Form E-15 Application to Vote (2012)SKU# TCE-FE15_2012_App2Vote
711 Spence Lane, Nashville, Tennessee 37217Phone 615-366-6565 Toll Free 1-800-882-4444 Fax 615-367-0923
www.mcquiddy.com