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NATIONAL LEAGUE OF CITIES , 2012 CONGRESS OF CITIES AND EXPOSITION- BOSTON, MASSACHUSETTS
At the Annual Business Meeting on Saturday, December 1, 2012, from 2:30 p.m. to 4:30 p.m., each direct member city of the National League of Cities
(NLC) is entitled to cast from one to 20 votes based upon the city's population per the 2010 census, through its designated voting delegate. Please
indicate below your city and state, your voting delegate and alternate(s), and sign and date the form. The form should be faxed to NLC at 202-626-3109,
by the October 30, 2012, deadline.
The official voting delegate and alternate(s) for the city/town/village of: FOR OFFICE USE ONLY
(DO NOT WRITE IN THIS SPACE)
Redlands, CA (2) Voting card issued to:
VOTING DELEGATE: (signature)
Votes: (2)
1. NAME: JON HARRISON, COUNCILMEMBER
1 2 3
TITLE:
ALTERNATE VOTING DELEGATE(S):
2. NAME: TITLE:
3. NAME: TITLE:
PLEASE SIGN AND FAX THIS FORM TO NLC BY OCTOBER 30, 2012
ATTENTION:MAE DAVIS,MEMBER RELATIONS REPRESENTATIVE
FAX: 202-626-3109
Signature (city representative):
Sam Irw
Title: City Clerk Date: October 16, 2012