2021 Precinct xxx Ballot with single Additional CCC member

2021 Ward xxx Precinct xxx Ballot
Voting using this ballot closes at midnight on Month date, 2021.
PIN Number
Must be 6 digits
Precinct Chair
** Name of write-in
NOTE: The Precinct Chair is automatically a member of the County Central Committee (CCC).
Additional CCC Member
** Name of write-in
Done voting?
Should be Empty:

2021 Ward xxx Precinct xxx Ballot