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%foot=12pt, ]{geometry} 
\usepackage{xtab} 
\usepackage[dvips]{graphicx}
\usepackage[final]{changes}
\usepackage{setspace}
\definechangesauthor[Bill Friend]{WF}{blue}
\definechangesauthor[John Kading]{JK}{red}
\definechangesauthor[Tim Whiting]{TW}{green}

\newcommand{\acldm}{Asociaci\'{o}n Colonos Lomas del Manglar, A.C.}
\newcommand{\ldm}{Lomas del Manglar}
\newcommand{\shortrule}{\rule{1cm}{.5pt}}
\newcommand{\longrule}{\rule{5cm}{.5pt}}
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% The changes marked in blue were suggested by Bill Friend.  The changes
% marked in Red were suggested by John Kading.  The changes in green
% were suggested by Tim Whiting.

\begin{center}
  \Huge{Proxy Ballot}\\
\end{center}
\vspace{12pt}

I, the undersigned, hereby acknowledge that I am a member in good
standing of \acldm{} and
that the person designated below has the authority to vote for me at the
 (General or Special) Assembly Meeting. She/He shall vote:

\shortrule{} as they wish.

\shortrule{} as I have designated on the front side of this ballot.

This ballot must be presented to the Association Secretary no later that
seven (7) days in advance of the date of the District Meeting or
handed to the Assembly Director prior to the start of the meeting.
Please note: \textbf{Each proxy designee may only have and vote one proxy.}

\textbf{Date:} \longrule{}

\textbf{Name of the designated voter:} (please print)
\longrule{}

\textbf{Name of the absentee voter:} (please print)
\longrule{}

\textbf{House number of absentee voter:} \longrule{}

\textbf{Signature of Absentee voter:} \longrule{}



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