TACEO Catalog 2013

32
711 Spence Lane, Nashville, Tennessee 37217 Phone 615-366-6565 Toll Free 1-800-882-4444 Fax 615-367-0923 www.mcquiddy.com Tennessee’s Most Experienced Ballot Printers

description

Tennessee Elections Commission catalog of election supplies 2013

Transcript of TACEO Catalog 2013

Page 1: TACEO Catalog 2013

711 Spence Lane, Nashville, Tennessee 37217Phone 615-366-6565 Toll Free 1-800-882-4444 Fax 615-367-0923

www.mcquiddy.com

Tennessee’s Most

Experienced Ballot Printers

Page 2: TACEO Catalog 2013

For more than a century, McQuiddy Printing has been the trusted printer of Tennessee.

Located in the heart of Nashville, McQuiddy has served those exceptional businesses that appreciate quality, customer loyalty, service, and innovation. A proud member of the Nationwide Argosy Solutions family, McQuiddy is one of seven premier printing companies in the nation. With broad spectrum services ranging from diverse and top-notch printing technologies, to Nationwide’s proprietary, web-based e-fulfillment solution – Argosy, McQuiddy offers limitless and comprehensive capabilities. At McQuiddy, customer satisfaction isn’t just a goal – it’s the standard used to measure success. McQuiddy guarantees happy cus-tomers; its history proves it, and its future demands it.

McQuiddy Printing CompanyA Nationwide Argosy Solutions Company

711 Spence LaneNashville, Tennessee 37217

Office 615.366.6565Toll-Free 800.882.4444

Fax 615.367.0923www.mcquiddy.com

Nationwide Argosy Solutions2500 West Loop South, Suite 500

Houston, Texas 77027Office 713.961.4700Fax 713.961.4701www.nwas-llc.com

Page 3: TACEO Catalog 2013

Argosy is McQuiddy’s proprietary software that allows users to log in with their personalized user information and order collateral as they need it. Users simply log in to the Tennessee Argosy site, select the pieces they wish to order, check out!

Ordering your county’s promotional materials and forms is now just a click away! Don’t remember what you ordered last year? Argosy does! Check previous orders and track your current ones! Know exactly when each ordered item is set to arrive.

Customize print materialsOrder any election materials from signs to forms and tags to buttons with your county name on them.

Generate Adobe PDF proofs on the flyPreview each item you order before ordering to ensure correct spelling and accurate imagery.

Order Print on Demand ItemsOnly order what you need! Order items to arrive when you are running low so you never run out of stock.

Consistent Tennessee BrandingMcQuiddy has been a printing partner for the state of Tennessee for over 50 years. We have all the state approved artwork so you can be sure all printed items are in compliance.

1

2

3

Address

step 1

[email protected]

step 1 Each county logs in with their individual log in and password.

step 2 OrderOrders for pieces are placed by quantity.

Address

step 2

Or r

12000envelopes

signs250000

(100 ft. or 300 ft.)

PROHIBITED BEYOND THIS POINT!Display of campaign posters, signs or other campaign materials, distribution of campaign

materials and solicitation of votes.

McQUIDDY E-4

E-4

PCS-34

Address

step 3

step 3 Done! Personalized county forms, signs, flags, or buttons are mailed out and a confirmation e-mail is sent with tracking information.

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I grew up in McNairy County, Tennessee, moving to Nashville to attend Business College. After completing a course in accounting, I joined McQuiddy Printing Company as a cost accountant, and after about five years was promoted to Comptroller. I stayed in that position until 1968 when I became a part of the Sales Force and that is where I have remained for over 50 years. I have many years of experience in dealing with Commercial Accounts in Tennessee and other states, and a won-derful working relationship with the Election Commissions throughout the State of Tennessee.

We take great pride in the friendship we have established with the Secretary of State and Coordinator’s office for many years. We have been printing Ballots for approximately 50 years. We have had a unique working relationship with the administrator’s of Election and the Election Commissions in the state of Tennessee for many years. Our relation-ship is more than a printer/customer relationship, we first establish a

friendship of trust and belief and then we proceed with the printing process. We take great pride in printing ballots for our customers, delivering them in ample time to meet their requirements.

We treasure our relationship to our election materials clients and look forward to many more years of a strong and mutually rewarding relationship.

My history with McQuiddy actually goes back to when I was a small child. My grandfather retired from McQuiddy after 58 years of service. I have some of the fondest memories hanging out with him many times on Sat-urdays while he was earning a little overtime. I am as excited as I have been in many years to have my lifelong dream finally come true. I am now employed with McQuiddy as the VP of Sales and am very fortunate to be leading a strong and passionate sales team. I am pleased to offer the State of Tennessee the best service and printed materials for the Election Commissions and look forward to a long and lasting relationship.

While I don’t have the same history with McQuiddy as Bart and Ron do, I have just the same enthusiasm for providing all election materials in a timely manner, from lapel pins to application forms. As part of the Argosy team, my job is to provide a solution for your election supply needs. Any need you have not listed in the following pages can be answered with a simple call to Ron, Bart, or myself. Please don’t hesitate to reach out to us with any special needs.

Your Argosy Support

YOUR ACCOUNT EXECUTIVE

YOUR ARGOSY SUPPORT

Page 5: TACEO Catalog 2013

TAGS

SEALS

SIGNS

FLAGS

PAPER BALLOTS

PINS AND BUTTONS

DOCUMENTS

FORMS

ENVELOPES

APPLICATIONS TO VOTE

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16

23

25

Form E-19“Do Not Break Seal” Tag(Until Polls Are Closed)

Commissioners of Elections for _________ County

N O T I C EDo Not Break This SealUntil Polls Are Closed

Form PR-3 EnvelopeForm PCS-30 Warning! No One But The Voter Size: 14-1/2 x 22-1/2

“WARNING!No one but the

VOTER HIMSELFmay touch a voter’s

ballot for any purposeafter he has received it.”

PCS-30 PCR 1360-2-6-03

Form E-22 Murry Seals

Form E-20Numbered Lock Seals

Form E-21Lock Seals(Not Numbered )

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TAGS

Form E-36

ELECTION OFFICIALName: _______________________________

Title: ________________________________

Date: ________________________________Form E-26 — McQuiddy

Form E-24“Break Seals” Tag(To Put in Operation)

N O T I C EAfter Inspection, This Seal Must Be Broken to Put the

Machine in OperationCommissioners of Elections

For _______________________________ County

Form E-23 “Do Not Break Seals” Tag (At Any Time)

NOTICEDO NOT BREAK THIS SEAL

AT A NY TIMEBOARD OF ELECTIONS

Form E-19“Do Not Break Seal” Tag(Until Polls Are Closed)

Commissioners of Elections for _________ County

N O T I C EDo Not Break This SealUntil Polls Are Closed

TAGS

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Form E-23 “Do Not Break Seals” Tag (At Any Time)SKU# TCE-FE23

Form E-24“Break Seals” Tag(To Put in Operation)SKU# TCE-FE24

Form E-19“Do Not Break Seal” Tag(Until Polls Are Closed)SKU# TCE-FE19

Form E-36 Election Official BadgeSKU# TCE-FE36

Page 7: TACEO Catalog 2013

Form E-22 Murry Seals

Form E-20Numbered Lock Seals

Form E-21Lock Seals(Not Numbered )

SEALS

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SEALS

Form E-19“Do Not Break Seal” Tag(Until Polls Are Closed)

Commissioners of Elections for _________ County

N O T I C EDo Not Break This SealUntil Polls Are Closed

Form E-22Murry SealsSKU# TCE-FE22

Form E-20Numbered Lock SealsSKU# TCE-FE20

Form E-21Lock Seals (Not Numbered)SKU# TCE-FE21

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SIGNS

SIGNS

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Form S-2 Candidate If You ... Size: 15 x 21SKU# TCE-FS2

Form S-9 Alphabet Sign... Size: 9 x 12SKU# TCE-FS9

Form S-3 Stop This Is A Primary Election Size: 13 x 13SKU# TCE-FS3

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SIGNS

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Form S-6 Please Have Voter Registration Card or Other ID Ready Size: 14 x 12SKU# TCE-FS6

Form PCS-33 Stop Here Demo Machine Size: 14-1/2 x 22-1/2SKU# TCE-FPCS33

Form S-11 Warning Illegal Voting Size: 15 x 19SKU# TCE-FS11

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SIGNS

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Form PCS-38 Exit Promptly Size: 14-1/2 x 22-1/2SKU# TCE-FPCS38

Form PCS-32 Candidates If You Are ... Size: 14-1/2 x 22-1/2SKU# TCE-FPCS32

Form PCS-36 Vote Here Size: 14-1/2 x 22-1/2SKU# TCE-FPCS36

Photo ID Sign (Plain)SKU# TCE-FEL3

Page 11: TACEO Catalog 2013

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SIGNS

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Form S-27 Notice During The Period ... Size: 11-1/2 x 19SKU# TCE-FS27

Form E-10 Ballot Box StickerSKU# TCE-FE10Form PCS-35 Please Check The Back

Size: 14-1/2 x 22-1/2SKU# TCE-FPCS35

Form S-13 Exit Promptly Size: 15 x 9SKU# TCE-FS13

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SIGNS

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Form E-4 Boundary MarkersSKU# TCE-FE4

Form PCS-31 Please Have Registration Size:14-1/2 x 22-1/2SKU# TCE-FPCS31

Form PCS-30 Warning! No One But The Voter Size: 14-1/2 x 22-1/2SKU# TCE-FPCS30

Form S-10 Notice to Campaign Workers SKU# TCE-FS10

Page 13: TACEO Catalog 2013

PAPER BALLOTS

9

PAPER BALLOTS These are examples. Please contact us for information about available products.

2 WAYS TO ORDER: MYARGOSY.COM // 615-366-6565

Page 14: TACEO Catalog 2013

FLAGS

FLAGS

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These are examples.

Please contact us for

information about

available products.

US Flags SKU# TCE-FL

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FLAGS

11

SKU# TCE-FL-KIT

Page 16: TACEO Catalog 2013

PINS AND BUTTONS

PINS AND BUTTONS

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SKU# TCE-PINS-BTNS

Page 17: TACEO Catalog 2013

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DOCUMENTS

13

DOCUMENTS

OFFICE OF THE

Board of Election Commissioners

for _____________________ county, tn.

D EAR S IR :

-

tion as a ____________________________________________________ to hold the election for

etc., at __________________________ Precinct, _________________________ District, on the

____________________ day of __________________________, 20 _____, between the hours of

______________ o’clock A.M. and _____________ o’clock P.M. If you cannot serve, notify the

Registrar-at-Large immediately.

This the __________________ day of ______________________________, 20 ____.

Form E9—McQuiddy

(344929)

Secretary of Board of Election Commissioners for _________________________________ County, TN.

Form E-9 Notice of Appointment of

________________________, Chairman, Board of Election Commissioners, ____________________ County, Tennessee.Dear Sir: failed to appear and discharge their duties to hold the election in______________Ward, ______________ Precinct, ______________ District, on ________________________

SIGNED:

FORM E7 McQUIDDY PRINTING CO., NASHVILLE, TN

E-7

Form E-51 Election Return Books

E L E C T I O N R E T U R N SFOR

_______ DISTRICT ______ WARD _____________Precinct,

_______________ COUNTY, TENNESSEE

Held ____________________, 20___ Total Vote ________

All Returns must be forwarded in time to reach _____________

at _____________ before 12 o’clock, Noon, on the ____ day of

__________________, 20___

IF USED FOR PRIMARY ELECTION, WRITE IN THE WORD PRIMARY ON BLANK LINE AT HEAD.

NOTI C E—In the back of this Poll List you will

find an Extra Large Tally Sheet

for use when necessary.

FORM E-51 — McQuiddy — Nashville

PAY ROLL This Sheet must be signed by each official of the Election and returned with Registration Book to

Judges

“ ”

“ ”

Machine Operator

“ ”

“ ”

“ ”

Officer Holding Election

E-8

Form E-9 Notice of Appointment of Election Officers (U.S. Government Stamped Postals)SKU# TCE-FE9

E-7 SKU# TCE-FE7

E-8 SKU# TCE-FE8

Form E-51 Election Return BooksSKU# TCE-FE51

Page 18: TACEO Catalog 2013

DOCUMENTS

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CERTIFIED LIST OF REGISTERED VOTERS, COUNTY, TENN.Precinct FOR THE YEAR 20

REGISTRATIONNUMBER

LASTNAME

FIRSTNAME

MIDDLEINITIAL

STREET , R .F .D. OR OTHER DESC . TOWN DIST .NO .

Form E-31

Form E-32

CERTIFIED

LIST OF REGISTERED VOTERS ____, 20

In District No. ___________ Precinct

_______________ County, Tennessee

NOTE: The law requires that this List of Registered Voters in each district and voting precinct shall be furnished the Primary Election Commission

dna noitcelE lareneG nehw ecalp gnillop hcae dnaPrimary Election are held upon the same date. (Chapter 1*2, Public Acts of 1949.)

(Sold by McQuiddy Printing Company, Nashville, Tennessee)

Form TC1/1985

Form E-11 Election CertificateSKU# TCE-FE11

Form TC1/1985 Technician’s CertificateSKU# TCE-FTC1

Form E-31 List of Registered VotersSKU# TCE-FE31

Form E-32 Certified List CoversSKU# TCE-FE32

City of Sparta, Tennessee Be it Known, That after canvassing the official returns as required by law of an election held in City of Sparta, Tennessee, on _________________ __M __________________________wasduly and legally elected to the office of _______________________________Witness our signatures, this _________day of _____________ ____

White County Election Commission

______________ County, Tennessee

Be it known, That after canvassing the official returns as required by law of an election held in ___________ County, Tennessee, on ____________ 20___ M______________________ was duly and legally elected to the office of_______________________________Witness our signatures, this _________ day of ______________ 20___

________________________County Election Commission

________________________________________________ChaiRman

________________________________________________SeCRetaRy

________________________________________________membeR

________________________________________________membeR

________________________________________________membeR

Page 19: TACEO Catalog 2013

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DOCUMENTS

15

If More than 145 Votes are cast for any one Candidate, Allow 2 Lines Form E-14 McQuiddy

Counting Record Sheets (In Duplicate) For Paper Ballots Count Vote

5N A M E S O F C A N D I D A T E S O F F I C E 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140 145TOTAL

(Use INK More)

Form E-14 Record Sheets for Counting Paper Ballots

WRITE-IN VOTE

We hereby certify before the Polls were opened, we carefully examined

each of the Candidate’s counters, and public counters and found all Candi -

date’s counters and public counters were an 000.

Machine No.

Protective Counter No.*PollsOpen

PollsClosed

SealNo.

Public**Counter

Polls Closed

COUNTERVOTE TOT AL

WRITE-IN

DISTRICT

WARD

PRECINCT

OFFICIAL RETURN SHEETELECTION

COUNTY

, , 20

Form E-34

Form VMD/1987

Precinct Officials Voting Machine DocumentDate ____________________________ District _______________________

Machine Number __________________________ Precinct _______________________

After A.M. inspection, was the machine acceptable for service?

Yes ____ No ____ If no, describe: _______________________________________________________

Free Key Use:

Reason ____________________________________________________________________________

Reason ____________________________________________________________________________

Reason ____________________________________________________________________________

If the machine was removed from service:

Reason ____________________________________________________________________________

Time A.M. _________ P.M. __________

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Technician’s Document(service calls)

Arrival Time ___________ PC reading _________ Departure Time ___________ PC reading __________

Service Performed ______________________________________________________________________

Was machine returned to service? Yes ____ No ____

Was machine activated? Yes ____ No ____ Number of times? ___________

Was the back door seal broken for service? Yes ____ No ____ Seal replacement number ___________

______________________________________ Technician’s signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Arrival Time ___________ PC reading _________ Departure Time ___________ PC reading __________

Service Performed ______________________________________________________________________

Was machine returned to service? Yes ____ No ____

Was machine activated? Yes ____ No ____ Number of times? ___________

Was the back door seal broken for service? Yes ____ No ____ Seal replacement number ___________

______________________________________ Technician’s signature

McQuiddy — Form No. VMD/2010 ATTACH TO CERTIFICATE OF RESULTS

Form E-34 Official Returns SheetSKU# TCE-FE34

Form E-14 Record Sheets for Counting Paper BallotsSKU# TCE-FE14

Form VMD/1987 Precinct Officials Voting Machine DocumentSKU# TCE-FVD

Page 20: TACEO Catalog 2013

FORMS

Form E-2 Poll Lists (Duplicate Set)

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2

3

4

5

6

7

Voter’s Name (Own Signature) Xxx. Xxx.Xxx.

Xxx.Xxx.

Registrar’s Initial in Last Column

Page No.

Date 20

District

Precinct Ward

Between the Hours of and

Form E-2 McQuiddy, NashvillePOLL LIST

CHANGE OF ADDRESSName printed Registration or typed .................................................................................................................. Number ....................................

(Last Name) (First Name) (Middle Initial)

Please change my address from:

................................................................................................ in the.............. Dist............ Ward ............ Precinct (No., Street, R.F.D. or other description)to:

................................................................................................ in the.............. Dist............ Ward ............ Precinct (No., Street, R.F.D. or other description)

Date ..........................................., 20 ............. Signed ......................................................................................

F O R O F F I C E U S E O N LY

Address changed on Original Record............................, 20 ......... .................................................................

Address changed on Duplicate Record and form placed in new District Ward or Precinct book

......................................, 20 ................. ..........................................................................

Remarks ..................................................................................................................................................................................................

Clerk

Clerk

McQuiddy Printing Co. E-33

Change of Address Form.indd 1 10/11/11 7:17 PMForm E-33 Change of Address

Front

Back

COUNTY CITY SCHOOL STATE STATE US DISTRICT WARD DISTRICT HOUSE SENATE CONGRESS

DATE REGISTERED REGISTRATION TYPE ( In Person / By Mail)

DATE OF BIRTH CARD PRINTED

PRECINCT

VOTINGLOCATION

SS-3006 (Rev. 10-11)

The above is entitled to vote on and after the issuance of this card, provided the registrationhas not become void.

VOTER’S SIGNATURE Administrator of Elections

FEDERAL OR STATE GOVERNMENT ISSUED PHOTO ID ISREQUIRED TO VOTE UNLESS EXCEPTION APPLIES

COUNTY, TN VOTER REGISTRATION CARD ID#

CUT ON THE DASH LINE

FO

LD L

INE

COUNTY CITY SCHOOL STATE STATE US DISTRICT WARD DISTRICT HOUSE SENATE CONGRESS

DATE REGISTERED REGISTRATION TYPE ( In Person / By Mail)

DATE OF BIRTH CARD PRINTED

PRECINCT

VOTINGLOCATION

The above is entitled to vote on and after the issuance of this card, provided the registrationhas not become void.

FEDERAL OR STATE GOVERNMENT ISSUED PHOTO ID ISREQUIRED TO VOTE UNLESS EXCEPTION APPLIES

COUNTY, TN VOTER REGISTRATION CARD ID#

CUT ON THE DASH LINE

FO

LD L

INE

Form PR-3 ContinuousForms Printed 2/Sides

ACTS PURGING REGISTRATION

THE REGISTRATION OF A PERSON SHALL BE PURGED AS SOON AS THEELECTION COMMISSION HAS KNOWL-EDGE OF ANY OF THE FOLLOWING FACTS. IF A PERSON:A. Requests to be purged;

noissimmoc eht yfiton ot sliaF .Bwithin ninety (90) days of a changeof name for any reason, except bymarriage, or divorce;

fo doirep a revo etov ot stcelgeN .Ctwo (2) consecutive regular Novemberelections and fails to notifycommission of change of addressafter request for information sent byelection commission;

D. Dies;emirc suomafni yna fo detcivnoc sI .E

(felony);F. Is not a U.S. citizen.

INFORMATION FOR THE ILLITERATE,PHYSICALLY DISABLED, OR VISUALLY

IMPAIRED VOTER

A voter who declares that by reason ofilliteracy, physical disability, or visualimpairment, he is unable to mark theballot to cast his vote as desired and who, in the judgment of the of� cerof elections, is illiterate, physicallydisabled, or visually impaired, mayhave his ballot marked on a votingmachine or on a paper ballot subject to the provisions of Section 2-7-117 by any person of the voter’s selection or by one (1) of the judges of his choice in the presence of either a judge of a different political party or, if such judge is not available, an election of� cial of a different political party.

FEDERAL OR STATE GOVERNMENT ISSUED PHOTO ID ISREQUIRED TO VOTE UNLESS EXCEPTION APPLIES

IF YOU CHANGE YOUR ADDRESS INSIDE THISCOUNTY, PLEASE FILL OUT & MAIL TO:

COUNTY ELECTION COMMISSION

NEW ADDRESS

MAILING ADDRESS

SIGNATURE AS SHOWN ON REVERSE SIDE

PHONE DATE

FORMS

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Form E-2 Poll Lists (Duplicate Set)SKU# TCE-FE2

Form E-33 Change of AddressSKU# TCE-FE33

Front

Back

Form PR-3 Continuous Forms Printed 2/SidesSKU# TCE-FPR3

Page 21: TACEO Catalog 2013

Back

Front

TRANSFERRED TO NEW ADDRESS

DateClerkWard orCountyPrecinct

Street, Road or R.F.D. No.House No.

DATE CRIME(S) STATE

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

YearPrimary Elections General Elections City Elections

Party Ballot No. AugustBallot No.

NovemberBallot No.

PrimaryBallot No.

RegularBallot No.

OtherElectionsBallot No.

VOTING RECORD

Form PR-1 Voter Registration Cards (One Part) – Continuous

Form PR-2 Voter Registration Cards (Two Parts) – Continuous

OUT

ARE YOU A NATIVE BORN, OR HAVE YOU BEEN A RESIDENT OF THE STATE NATURALIZED CITIZEN? OF TENNESSEE FOR 20 DAYS OR MORE?1 YES ____ NO ____ 2 YES ____ NO ____

HAVE YOU EVER BEEN CONVICTED OF A CRIME WHICH IS A FELONY IN THIS STATE, YESBY A COURT IN THIS STATE, A COURT OF ANOTHER STATE, OR A FEDERAL COURT? NO

IF THE ANSWER TO QUESTION 9 IS “YES” LIST THE CRIME, OR CRIMES, FOR WHICH YOU WERE CONVICTED, AND DATE OR DATES, OF CONVICTION (SPACE AVAILABLE ON REVERSE SIDE.)?

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

FIRST MIDDLE INITIALLAST NAME

STREET OR ROADHOUSE OR APT. NO. RTE. AND BOX NO.

STATE ZIPCITY

COMMUNITY OR NEIGHBORHOOD OR NEAREST CROSS STREET

HOUSE OR APT. NO. RTE. AND BOX NO. STREET OR ROAD

STATE ZIPCITY

OCCUPATION SOCIAL SECURITY NO.HOME PHONE

MONTH YEARDAY STATE

RACE

CITY

COUNTY STATECITY

YOUR MAIDENNAME IF YOU WEREPREVIOUSLY REGISTERED

DATE AND

PLACE OF BIRTH

WHERE WEREYOU LASTREGISTEREDTO VOTE

HABITATION ORMAILING ADDRESSIF DIFFERENTFROM LEGAL RESIDENCE

LEGALRESIDENCE

MR.MRS.MS.

ORI

GIN

AL

PR-1

SS-3

003

PERM

ANEN

T RE

GIST

RATIO

N RE

CORD

RESID

ENCE

DO NOT WRITE IN SHADED AREA DISTREG# EFF DATE

WARD

APPROVED PRECINCT

IF THE ANSWER TO QUESTION 9 IS “YES” HAVE YOU RECEIVED A PARDON YESOR HAD YOUR FULL RIGHTS OF CITIZENSHIP RESTORED BY A COURT FOR NOALL CRIMES LISTED?

IF REGISTRANT SIGNS BY HIS MARK, OR CANNOT SIGN AT ALL, FILL IN THE FOLLOWING INFORMATION:

DISTINGUISHING MARKS OR FEATURESHAIR COLORCOLOR EYESHEIGHTFT. INCHES

I plan to remain at such residence for an undetermined period of time and say that to the best of my knowledgeand belief all of the foregoing statements made by me are true.

DATE SIGNATURE (OR MARK) OF APPLICANT

SWORN TO AND SUBSCRIBED TO BEFORE ME THIS

DAY OF , 20 .

SIGNATURE OF REGISTRAR OR OTHER PERSON TAKING AFFIDAVIT

OFFICIAL POSITION

NAME

NAME

SIGNATURES OF PRECINCT REGISTRARS

11.

12.

13.

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FORMS

Form PR-1 Voter Registration Cards (One Part) - Continuous SKU# TCE-FPR1Form PR-2 Voter Registration Cards (Two Parts) - Continuous

Front

Back

Page 22: TACEO Catalog 2013

FORMS

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Verification Form- Continuous SKU# TCE-FVFY-C

Front

Back

Page 23: TACEO Catalog 2013

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FORMS

Front

Back

Confirmation Form- ContinuousSKU# TCE-FCNF-C

Page 24: TACEO Catalog 2013

FORMS

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Laser Voter Verification FormSKU# TCE-FVFY-8x11-L

Front Back

Laser Voter Confirmation FormSKU# TCE-FCNF8x11-L

Front Back

Page 25: TACEO Catalog 2013

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FORMS

Perforate

Form PC-1 Pay Card

Front

Back

Perforate

Page 26: TACEO Catalog 2013

Fail-Safe Affidavit Fail-Safe Affidavit Form 2

FORMS

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Fail-Safe Affidavit Fail-Safe Affidavit Form 2

Fail - Safe Affidavit Form 2SKU# TCE-F2

Fail - Safe AffidavitSKU# TCE-F1

Page 27: TACEO Catalog 2013

ENVELOPES

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ENVELOPES

Form E-28 Envelope Spoiled Ballots

PRECINCT

ELECTION DATE 20

Form E-28

SPOILED BALLOTS

PAPER BALLOTS

Form E-30 Envelope Paper Ballots

PROCEDURE FOR COUNTING PAPER BALLOTS:1. The judges shall open the ballot box in the presence of the watchers and all other persons who are present.

2. The judges alternate in drawing ballots from the box and fo seman eht segduj rehto eht fo thgis nihtiw duola gnidaer

the persons who have been voted for on each ballot.

3. The registrars shall record the votes on the tally sheets.

4. ot snosrep era ereht naht seman erom skram retov eht fIbe elected to an office, or if for any reason it is impossible to determine the voter’s choice for any office to be filled or on a question, his ballot shall not be counted for such office and shall be marked “Uncounted” beside the office and be signed by the judges. It shall be counted so far as it is properly marked.

5. hcae rof setov eht etupmoc neht llahs segduj ehT eht no slatot eht retne llahs dna noitseuq ro etadidnac

duplicate tally sheets in ink.

6. dna tcerroc deifitrec eb llahs steehs yllat etacilpud ehTsigned by the officer of elections and each judge and shall be placed in the poll books.

7. Record the paper ballot vote in the proper column on the Certificate of Results.

8. hcae ni no detov stollab repap fo rebmun eht tnuoC ).cte ,noitcelE laicepS ,yramirP citarcomeD sa hcus( noitcele

and record the information on this envelope. Then place all ballots (counted and rejected bound sepa-rately) in the envelope and seal the envelope. Each official involved in the counting of these ballots then signs the envelope which will remain sealed for six (6) months unless opened on court order.

District Precinct

Date of Election

Officer of Elections

Judge

Judge

Judge

Registrar

Registrar

Election

No.CountedBallots

No.RejectedBallots

Form E-17 Envelope for The Return of Key for V.M.

ENVELOPE FOR THE RETURN OF KEY FOR VOTING MACHINEWE HEREBY CERTIFY, The enclosed key belongs to Voting Machine No. ______________________

which has been used in the Election this day held at_______________________ Precinct ______________ District of ______________________ County, TN. Opening ClosingThe number on the Public Counter was - - - - - - -

The number on the Protective Counter was - - - - -

The number on the paper roll was - - - - - - - - -

Judges Date 20

This envelope should be sealed in the presence of the election officers, the certificate properly madeby them and the envelope then promptly delivered by the Judge to the proper authorities.

Form E-17-VM 237869 McQuiddy • Nashville

Form E-30 Envelope Paper BallotsSKU# TCE-FE30

Form E-28 Envelope Spoiled BallotsSKU# TCE-FE28

Form E-17 Envelope for The Return of key for V.M.SKU# TCE-FE17

PRECINCT ELECTION

DATE 20

REASON FOR REJECTION

Judge’s Signature Judge’s Signature Judge’s Signature

Officer’s SignatureForm E-27 McQuiddy - Nashville

Form E-27 Envelope Rejected Ballot

REJECTED BALLOT

Form E-27 Envelope Rejected BallotSKU# TCE-FE27

Page 28: TACEO Catalog 2013

Form E-18 Envelope for V.M. Door Key

This Envelope Contains Keys of VotingMachines to Be Used in

District Precinct Ward as follows:

Voting Machine Protective Counter Number Seal Paper Roll Number Open Close Number Number

SEE OTHER SIDE FOR INSTRUCTIONS

E-18

Form PR-3 Envelope

POLL BOOK

_____________________________________________________________ Election

________________________ (Ward) District ______________________ Precinct

________________________________ County

Date Held _____________________, 20 ___ Total Vote ___________

FORM E2CMcQUIDDY • NASHVILLE

Form E-2C Poll List Covers (complete w/fastener)

FORM E-3

NOTICE: The Election Returns and one Poll List must be enclosedherein and mailed to

E-3

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Form E-13 Envelopes for Election (outgoing 13 x 17)

ENVELOPES

2 WAYS TO ORDER: MYARGOSY.COM // 615-366-656524

Form E-2C Poll List Covers (complete w/ fastener)SKU# TCE-FE2C

Form E-13 Envelopes for Election (outgoing 13 x 17)SKU# TCE-FE13

Form E-18 Envelope for V.M. Door KeySKU# TCE-FE18

E-3SKU# TCE-FE3

Form PR-3 EnvelopeSKU# TCE-FPR3E

Page 29: TACEO Catalog 2013

Form E-15A Sectional Post Binder

2 WAYS TO ORDER: MYARGOSY.COM // 615-366-6565

APPLICATIONS TO VOTE

25

APPLICATIONS TO VOTE

E-15C

___________________________________________ ELECTION

Held on ______________________________________, 20____

in the _______________ district _________________ precinct

_____________________________________________ COUNTY

_____________________ ward of

Ballot Numbers __________ to ___________

Cover for Form #-15C 243493 McQuiddy • Nashville

Form E-16 Application for PermanentRegistration of Absentee

Form E-16 McQUIDDY PRINTING CO. NASHVILLE

TO THE ELECTION COMMISSIONERS OF _____________________________________ COUNTY, TENNESSEE: Being required by reason of ______________________ to be absent from the City and County of myresidence, I hereby make application for permanent registration in accordance with the provisions of Chapter No. 172, Public Acts of 1949 for which the following information is respectfully submitted:My full name is (Mr.) (Mrs.) (Miss) _______________________________________Address __________________________________________________________________________________

(No., Street, R.F.D., Apt. No. or other description, City or Town)Civil District __________________ Ward __________________ Precinct ____________________________I am twenty-one years of age or over, or will be prior to the holding of the next election; I am a citizen of the United States and of the State of Tennessee; I have resided in the State of Tennessee for at least one year and in the County for at least six months, immediately preceding the next general election. ❃ Native born CitizenI am a ❃ Citizen by naturalization My color _________________________________I was last registered in _________________ District _________________ Ward _________________ Precinctin ___________________________________________(Town or City) _________________________County

❃ MarriedI am ❃ Single My vocation __________________________________________________ (have)I (have not) been as a voter by a judgment or decree of any Court. (If applicant has been asa voter, give date and name of Court by which reinstated.) Date _________________________________Court ______________________________________

Signed ___________________________________________ Complete address to which Registration should be mailed:__________________________________ __________________________________ __________________________________

STATE OF _______________________________, COUNTY OF ____________________________________

Sworn to and subscribed before me this the ___________ day of _____________________, 20_____ in the City of ______________________________, State of ____________________________.

_______________________________________ (Any authorized to administer oaths)

Title ___________________________________If Notary Public,My commission expires _________________________

(SEAL)

APPLICATION FOR PERMANENT REGISTRATION OF ABSENTEE

Election Date

APPLICATION TO VOTE

Application No.

PRINTName asRegistered

CurrentResidentialAddress

Street Address (No., Name, Rd., Apt.)

City Zip

OATH OF VOTER:“I declare that I reside at the above address. I am a registered voter ofthis county and I request to vote in the elections checked. I also declarethat I have not previously voted in this election, nor will I attempt to voteat any other polling place on election day.”

XSignature of Voter as Registered

General

Primary:Democratic

Republican

Municipal

Other

FS PB

VM Ballot

Registrar Initials

VM

PAPER BALLOT

# ______________

“Therefore, I declare, under penalty of perjury, that I reside at the aboveaddress; I (HAVE NOT) (HAVE) changed my address since the last election in which I voted; I am a registered voter of the county; and I desire to vote. I also declare that I have not previously voted in this election, nor will I attempt to vote at any other polling place on Election Day.”

OATH OF VOTER: Circle appropriate option and sign below:

Signature of Voter as RegisteredID REQUIRED TCA 2-7-112(c)E-15

X

Form E-15 Application to vote version 1

Election Date

APPLICATION TO VOTE

Application No.

PRINTName asRegistered

CurrentResidentialAddress

Street Address (No., Name, Rd., Apt.)

City Zip

OATH OF VOTER:“I declare that I reside at the above address. I am a registered voter ofthis county and I request to vote in the elections checked. I also declarethat I have not previously voted in this election, nor will I attempt to voteat any other polling place on election day.”

XSignature of Voter as Registered

General

Primary:Democratic

Republican

Municipal

Other

FS PB

VM Ballot

Registrar Initials

“Therefore, I declare, under penalty of perjury, that I reside at the aboveaddress; I (HAVE NOT) (HAVE) changed my address since the last election in which I voted; I am a registered voter of the county; and I desire to vote. I also declare that I have not previously voted in this election, nor will I attempt to vote at any other polling place on Election Day.”

PB

VM BALLOT

#

#

#

#

Election Date

APPLICATION TO VOTE

Application No.

PRINTName asRegistered

CurrentResidentialAddress

Street Address (No., Name, Rd., Apt.)

City Zip

OATH OF VOTER:“I declare that I reside at the above address. I am a registered voter ofthis county and I request to vote in the elections checked. I also declarethat I have not previously voted in this election, nor will I attempt to voteat any other polling place on election day.”

XSignature of Voter as Registered

General

Primary:Democratic

Republican

Municipal

Other

FS PB

VM Ballot

Registrar Initials

VM

PAPER BALLOT

# ______________

“Therefore, I declare, under penalty of perjury, that I reside at the aboveaddress; I (HAVE NOT) (HAVE) changed my address since the last election in which I voted; I am a registered voter of the county; and I desire to vote. I also declare that I have not previously voted in this election, nor will I attempt to vote at any other polling place on Election Day.”

OATH OF VOTER: Circle appropriate option and sign below:

Signature of Voter as RegisteredID REQUIRED TCA 2-7-112(c)E-15

X

Form E-15 Application to vote version 2

Form E-15 Application to vote version 1SKU# TCE-FE15_1

Form E-15 Application to vote version 2SKU# TCE-FE15_2

Form E-15 Application for PermanentRegistration of AbsenteeSKU# TCE-FE16

E-15CSKU# TCE-FE15C

Supplies

Form E-15A Sectional Post BinderSKU# TCE-FE15A

Page 30: TACEO Catalog 2013

APPLICATIONS TO VOTE

2 WAYS TO ORDER: MYARGOSY.COM // 615-366-656526

Form EV Early Voting – Continuous (Two Parts)

Assistance Signature: (Required if voter cannot sign name or if assistance is given.)

The signatures above have been compared with the permanent registration records and (are) (are not) the same.

[ ] Application accepted and supplies furnished.

[ ] Application rejected because ________________________________________________________________________________________________

BELOW INFORMATION FOR ELECTION COMMISSION USE ONLY

Registrar or Deputy’s Signature Date

DateSignature of VoterX

NOTICE: A PERSON WHO APPLIES TO VOTE ABSENTEE BY PERSONAL APPEARANCE WHO IS NOT ENTITLED TO DO SO COMMITS A FELONY PUNISHABLE BY NOT LESS THAN ONE (1) YEAR NOR MORE THAN SIX (6) YEARS IMPRISONMENT AND MAY BE FURTHER FINED UP TO $3,000 .

Signature of Person Assisting Address Date

Signature of Witness Address Date

Check this box if the address above di�ers from the address on your voter registration card.

Last Name First M.I.

Address of Residence

City or Town Zip

Social Security Number Date of Birth

Registraton No. __________________ APPLICATION EARLY VOTINGBY PERSONAL APPEARANCE Application No. _______________

Emergency hospitalization within the county.I will be absent due to service of process or subpoena.I will be absent from the state or county on election day due to death of a relative.I am a full-time resident of a licensed nursing home, home for the aged, or similar licensedinstitution providing relatively permanent domicillary care.

OATH OF VOTER (Circle appropriate option and sign below:) degnahc )evah( )ton evah( I ,sserdda evoba eht ta ediser I taht eracled I ,eroferehT“ eht fo retov deretsiger a ma I ;detov I hcihw ni noitcele tsal eht ecnis sserdda ym ni detov ylsuoiverp ton evah I taht eralced osla I .ylrae etov ot erised dna ;ytnuoc

this election, nor will I attempt to vote at my polling place on election day.”

Elections: Ballot Number: District:[ ] General Primary: Precinct:[ ] Democratic[ ] Republican Ward:

[ ] Municipal[ ] Referendum[ ] Other: Date of Election: [ ] Special School DistSpecial Absentee Voting: (If applicable)

Form EV- Early Voting - Continuous (Two Parts)SKU# TCE-EL271

Form E-15 Application to Vote (2012)SKU# TCE-FE15_2012_App2Vote

APPLICATION FOR BALLOTELECTION DATE APPLICATION NO.

PRINT NAME OFVOTER HERE

RESIDENTIALADDRESS ASREGISTERED Street Address or Rt. Box No. and Rd.

City Zip PRIMARY:DEMOCRATICREPUBLICAN

Circle appropriate option and sign below:

Therefore, I declare that I reside at the above address; I (HAVE NOT) (HAVE) changed myaddress since the last election in which I voted; I am a registered voter of the county; and Idesire to vote. I also declare that I have not previously voted in this election, norwill I attempt to vote at any other polling place on election day.

XSignature of Voter as Registered

E-15 ID REQUIRED TCA 2-7-112(C)

WRITE-IN BALLOT NO.(IF USED)

GENERALELECTION

MUNICIPALELECTION

REFERENDUM

OTHERELECTION

REGISTRAR’SINITIALS

Street Address or Rt. Box No. and Rd.

City Zip Phone

CHANGE OFRESIDENTIALADDRESS

ID REQUIRED TCA 2-7-112(c)

X

OATH OF VOTER: Circle appropriate option and sign below:

Form E-15 Application to vote version 3Form E-15 Application to vote version 3SKU# TCE-FE15_3

APPLICATION TO VOTEElection Date Application No.

Federal or State Government Issued Photo ID RequiredPRINTName asRegistered

CurrentResidentialAddress

Street Address (No., Name, Rd., Apt.)

City Zip

OATH OF VOTER: Circle Appropriate option and sign below:“Therefore, I declare, under penalty of perjury, that I reside at the aboveaddress: I (HAVE NOT) (HAVE) changed my address since the lastelection in which I voted; I am a registered voter of the county; and I desire to vote. I also declare that I have not previously voted in this election, nor will Iattempt to vote any other polling place on Election Day.”

Signature of Voter as RegisteredID REQUIRED TCA 2-7-112(c)E-15

X

General Primary: Democratic

Republican

Municipal

Other

POLL OFFICER ONLYPhoto ID:

Yes No• Exception

Religious objection

Indigent

FS VM

Provisional Voter PAPER BALLOT

#__________________Registrar Initials

2012 E-15 App to Vote.indd 1 6/26/12 11:03 AM

Page 31: TACEO Catalog 2013

Form E-15 Application to Vote (2012)SKU# TCE-FE15_2012_App2Vote

Page 32: TACEO Catalog 2013

711 Spence Lane, Nashville, Tennessee 37217Phone 615-366-6565 Toll Free 1-800-882-4444 Fax 615-367-0923

www.mcquiddy.com