APPLICATION FOR ABSENTEE ELECTOR’S BALLOT

State of Idaho            )

                                ) ss

County of Boundary    )                                                                                                                         Date: _______________________, _______

I, ____________________________, hereby make application for an absent elector’s ballot or ballots to be voted at the election held on: November 3, 2009 for the purpose of electing the Paradise Valley Fire District Commissioners, Dist 1, 2, and 3.

My home address is: _______________________________________________ in ____________________________________,

                                              (Physical Address)                                                                                                  (City)

and I am duly registered in _______________________________________________ election precinct, Boundary County, Idaho.

                                                           (Precinct Name or Number)

Please mail ballot(s) to me at the following address:

_________________________________________________________

(Elector)

_________________________________________________________

(Mailing Address)

_________________________________________________________

(City, State and Zip Code)

ELECTOR MUST PERSONALLY SIGN APPLICATION

Signed: ________________________________________________________

Please return completed and signed applications to the Clerk’s Office in the Boundary County Courthouse  or mail completed, signed applications to: Boundary County Auditor, PO Box 419, Bonners Ferry, ID 83805