State of Maryland, County of.... I, ..... to wit: a justice of the peace of the State of Maryland, in and for the county aforesaid, do hereby certify that on this... ..... ...day of.. before me, personally appeared.. 192..., personally known to me to be the person referred to in the above declination and the person who signed the same, and acknowledged that the said declination was his act. J. P. CERTIFICATE OF NOMINATIONS. To Fill a Vacancy by a Committee Empowered by a Convention to Fill Such a Vacancy. To the Board of Supervisors of Elections: We, the undersigned, chairman and secretary of the. committee of the.. ..day of.... ..party of the..... ...county, do hereby certify that by the convention of the said party, held on the..... 192..., the said committee was authorized to fill vacancies which might happen among the nominees of the said convention; that a vacancy has occurred in the candidate of said party for the office of the said vacancy being caused by the that the name of the person originally .and that nominated for such office was... the office for which he was so nominated was. and we do further certify that at a meeting of the said committee held on the..... 192..., in pursuance of the power and authority conferred upon said. committee by the said convention, the said committee has nominated... residing at. business is. .for the said office of.... in the county aforesaid, whose and whose address is.... 192... Witness our hands this........day of...... Test: Whose residence is at.. Whose business is... Whose place of business is at. Whose residence is at. Whose business is.... Whose place of business is at. Chairman of the said Committee. Secretary of the Committee. Note. The said certificate is to be acknowledged by the chairman and secretary, respectively, in the same manner as the original certificate of nomination was acknowledged by the presiding officer and secretary of the convention which made the original nomination. APPOINTMENT AND OATH OF SUBSTITUTE JUDGE OR CLERK. In Place of Judge or Clerk Not Present Within Fifteen Minutes After the Opening of the Polls. We, the judges of election of the...........precinct of the ward of the city of.. district of. .... ... (or... ......... ...county), present at such poll-place, appointed a judge (or clerk) of election for said precinct, not having attended at such polling place at the opening of the polls, or within fifteen minutes thereafter, do appoint.... ..as judge (or clerk) of election in the place and stead of the said.... so absent, we having first administered to him, and he having taken and subscribed the oath below set forth, that is to say: residing at... . I, in the city (or county) of. in the State of Maryland, do solemnly swear (or affirm) that I am a legal voter in the..... ... ..precinct of the ...ward of Baltimore city (or... .district of the county of..... ) in said State, and that I will be faithful and bear true allegiance to the State of Maryland, and support the Constitution and laws thereof, and that I will faithfully and honestly discharge the duties of an officer of registration, and of judge of election (or clerk of election) for the... ..precinct of the...... .ward of said city (or.... . district of the county of.... ........), in the State of Maryland, according to the best of my ability; and I do further swear (or affirm) that I will not attempt to ascertain, save in cases and in the manner in which I am authorized by law so to do, for what candidate or candidates any person shall vote or has voted, or how any person shall vote or has voted on any question which may be, or may have been, submitted to the vote of the people, and if such knowl edge shall be acquired by me, I will not directly or indirectly, by word or act, divulge or reveal the same, or aid in doing so, save when I may be required to do so by law in some legal proceeding. In testimony of which appointment having been made, and said oath having been taken and subscribed, we do hereunto subscribe our names. APPOINTMENT AND OATH OF SUBSTITUTE JUDGE OR CLERK. Made by Judge or Clerk Compelled to Absent Himself From the Polls. I, the... ... a judge (or clerk) of election for ward of the city of .precinct of the.. (or..... . district of.. county), being compelled by (Here insert reason of absence.) .to to absent myself from the polling place of said precinct, do hereby appoint in my place and stead... act as judge (or clerk) until my return, I having first administered to him the oath following: I, ..... ., residing at.... ........in the city (or county) of... in the State of Maryland, do solemnly swear (or affirm) that I am a legal voter in the...... precinct of the......ward of the city of... . (or ... district of the county of.... ..), in said State; that I will support the Constitution of the United States, and that I will be faithful and bear true allegiance to the State of Maryland, and support the Constitution and laws thereof, and that I will faithfully and honestly discharge the duties of an officer of registration and of judge of election for the... .precinct of the...... . district of the (or.... Iward of the city county of.. of.... ), in the State of Maryland, according to the best of my ability; and I do further swear (or affirm) that I will not attempt to ascertain, save in cases and in the manner in which I am authorized by law to do so, for what candidate or candidates any person shall vote or has voted, or how any person shall vote or has voted on any question which may or may have been submitted to the vote of the people, and if such knowledge shall be acquired by me, I will not, directly or indirectly, by word or act, divulge or reveal the same or aid in doing so, save when I may be required to do so in some legal proceeding. Sworn and subscribed before me this... of..... 192... .day NOTE ON POLL BOOK OF APPOINTMENT OF SUBSTI TUTE JUDGE OR CLERK. Form of Note on Poll Book of Appointment of Substitute Judge or Clerk of Election. Note. At the hour of.........precisely... was appointed and sworn in as substitute judge (or clerk) of election in the place of..... who (here state reason of absence), and said substitute began to serve at precisely .and ceased to serve at precisely.... .... You are hereby commanded to receive the body of... who is committed for trial before the Circuit Court of. county for the offense of..... and him, the said..... (Here set forth as nearly as you can in the language of the law the exact offense for which you have committed him.) safely keep in your custody in jail until he shall be thence discharged according to law; thereof fail not at your peril. In testimony whereof, witness our hands and seals this .day of.... 192... Judges of Election for the......Precinct of the......District of........ County. Note. If only one judge signs the commitment it is valid; in that case, however, he should make the necessary change in the language of the commitment to conform to the facts. AFFIDAVIT OF VOTER. Who Needs Assistance Because He Is Suffering From Physical Disability of Some Kind. State of Maryland,.. I,. . . . . ....County, to-wit: whose registered address is.... in the presence of Almighty God, do solemnly declare (or affirm) that I am unable to mark my ballot because... . . . . . ... (here state the special physical disability which incapacitates the voter), and that such disability has existed for.. years and.... months. Subscribed and sworn to before the undersigned this.... day of November, 192...... Judge of Election for the..... .Precinct of the STATEMENT ON RETURN. To Be Made in Duplicate by the Judges of Election of Result of Election. We, the undersigned, judges and clerks of election for the ..precinct of the. .... district of.... county, in the State of Maryland, do hereby certify that at the election held on this..........day of November, 192.... the polls of said precinct were opened at the hour of... A. M. and were closed at the hour of......P. M., and that at said election at said precinct the whole number of votes cast for... ..was (..... .) and the (Here write out numbers in words.) whole number of votes cast for.... for elector for President and Vice-President of the United States was (.............. .) (and in like manner (Here write out numbers in words.) for each of the other candidates for each office.) And we do further certify that the above statement is cor rect in all respects. Witness our hands this.. .day of November, 192.... Judges of Election. Clerks of Election. |