Montgomery County Elections Voter Registration Information Vuib: 1089866543 | Name: NICK CHRISTOPHER HARRINGTON Residence: 18700 FM 1314 CONROE, TX 77302 Mailing: 1602 SHADOWCREST OR CORINTH, TX 76210 | precinct Gander -—«00B_—=—=Rog Dato EDRDate Valid Dato "se Mm t2giise7 —aisrots steer? anarote [ Voter History we Dae a Eieton Name Par Presinet Genicets 1182018 Lore Sir Godt Connon De euanre Genticeie _}82018 Lave Sr Gouna ComenetonOne-Prcret s 8 enticei® 182018 Comoe indepen nod Oat 6 8 Sentiet® 118208 Monon Ct Mops ey Oi 152 6 & [Seviiteis _jia18 Lire Sr Coe tate cs o8 ceniieis —_ji208 Motganen Cty 5 S| [Sewtior” Lam Mopar Gout Muropal Uy ai 12 s om | [Sewer hamaotr Money Got es o8 | Page 1 of 464 DPS VOTER REGISTRATION APPLICATION | ,¢; imu gg snatnan 08.16.2017 vba ton 14.07.2017 iiaR@incroN wae GikisFopuen | NARAicron andere Adress 798 CENTRAL PINE MONTGOMERY, TX 77316 ‘an nacre pions 798 CENTRAL PINE ST MONTGOMERY, TX 77316-0000 Mee afeysee l je lesa mt Re ne | Cm GRlounee Cleese 3083426 x A anerorr Sapature of Aplent or Agent: plane nce by Wess aie Appcant o Print as Same Dan as eee pel tcadti o—roa sm cae Peat a ‘Texas Voter Registration Application ose Please mail this application to: REGISTRAR OF VOTERS Go P.O. BOX 2646 a CONROE , TX 77205-2645, Q.ls 1 Application Type: New Are you a United Sates C220? snes fre You interested in serving ase ection worker? coumes ate ns latte FirstName ‘Mkiie Wane was Farrar Nae HARRINGTON wick CHRISTOPHER 7 Raianas Rees omens, [OW [coanay Gp Code uae er montoomery —|ontcomeny fix | 77816 Talis Kaa een estar tron] Tip Code iovaseas ~ : conti e210 1602 SHADOWOREST OR : 5 Bata oF Ba am Gade eat “Tap ane Rare Aran Ca a 5 TX Drivers License No, or Texas Personal LD. No. Ino TX Driver's License or Porsonal Idondification, glve node epener se Se) last four digits of your Social Security Number Gi Ihave not been issued a TX Driver's License/Personal identification Number or Social Security Number. ‘3 Tnderstand tat giving fave Information to procure voter regisvaon fe pay, and acre under sate and federal law. Conviction ofthis erime may result in Imprisonment up to 180 days, a fine up to $2,000, or both Please read all {rea ‘statements to affirm Before signing. + am a osidont ofthis county and U.S. Citizen; + Ihave not been fnaty convicted ofa fleny. rf fon, have completa allo my punishment inlucng any term of ‘ncarceraton, par, supervlon, ped o probation | have Been pardoned: ane + [have nat been determined by a fal judgment of court exacting probate juraditon tobe totaly mentaly Incapactated or parally marta incapactated witout the right to voto. io Ag te 701 Data ‘Signature of Applicant or Agant and Relationship to Applicant or Printed Namo of Applicant if Signed by Witness and Date.