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Polling Place Accessibility Survey Form County: ________________ City/Town/Township: ___________________ Polling place Name (i.e. Tech High School; 1st Baptist Church): ___________________________________________________
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Document Date: 2014-09-19 12:23:52


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File Size: 239,19 KB

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City

Township / /

IndustryTerm

reasonable travel distance / /

Organization

Tech High School / Baptist Church / /

ProvinceOrState

Indiana / Place Accessibility Survey Form County / /

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