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23.10.2021, . 12:50


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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.

___________________________________________________

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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