COUNTY OF TRAVIS
STATE OF TEXAS
1840
TRAVIS COUNTY TAX ASSESSOR-COLLECTOR
VOTER REGISTRATION DIVISON
5501 Airport Blvd. PO Box 1748 Austin, TX 78767-1748
Tel: (512) 854-9473 Fax: (512) 854-4840
www.traviscountytax.org
VOTER REGISTRATION CERTIFICATION
November 18, 2015
NAME: Rafael Edward Cruz
DATE OF BIRTH: 12/22/1970
DATE OF REGISTRATION: 05/08/2003
DATE OF CANCELLATION: 09/23/2012
VUID: 1130945217
VOTED IN THE FOLLOWING ELECTION(S).
| | |
| :--- | :--- |
| General 11/2/10 | Primary 3/2/10 (REPB) |
| General 11/3/09 | Joint Election 5/9/09 |
| General 11/4/08 | Primary 3/4/08 (REPB) |
| General 11/6/07 | General 11/7/06 |
| Primary 3/7/06 (REPB) | General 11/8/05 |
| General 11/2/04 | Joint Election 5/15/04 |
| Primary Runoff 4/13/04 (REPB) | Primary 3/9/04 (REPB) |
(SEAL)
Voter Registration Manager
Travis County Tax Office
Voter Registration — Ted Cruz, Travis County Tax Assessor-Collector, Voter Registration Certification (2015)
FOIA Response - Travis County Tax Assessor-Collector · Nov. 18, 2015
Certified voter registration record and application for Rafael Cruz issued by the Travis County Tax Assessor-Collector. The document contains personal identification details, residential address, and a historical log of elections voted in through 2015.
election record foia public record Texas travis county voter registration
Document text
Prescribed by the
Secretary of State
64.95 BPM1.10-95
VOTER REGISTRATION APPLICATION
(SOLICITUD DE INSCRIPCION DE VOTANTE)
Additional Information For Official Use Only
PCT Ct. Num. 001060323 EDR 1
Last Name
(Apellido usual)
CRUZ
First Name (NOT HUSBAND'S)
(Su nombre de pila) (Siendo mujer: no el del esposo)
RAFAEL
Middle / Maiden Name (If any)
(Segundo Nombre / Apellido de Soltera (si tiene))
EDWARD
Former Name
(Nombre anterior)
Residence Address: Street Address and Apartment Number, City, State, and ZIP. If none, describe where you live. (Do not include P.O. Box or Rural Rt.)
(Domicilio: Calle y número, número de apartamento, Ciudad, Estado, y Código Postal; A falta de estos datos, describa la localidad de su residencia.) (No incluya su apartado postal ni su ruta rural.)
HARTFORD ROAD, AUSTIN, TX 787030000, TRAVIS
Mailing Address, City, State and ZIP: If mail cannot be delivered to your residence address. (Dirección postal, Ciudad, Estado y Código Postal) (Si es imposible entregarle correspondencia a domicilio.)
Gender (Optional)
(Sexo) (Optativo)
Male (Hombre) [x] Female (Mujer)
Date of Birth: month, day, year
(Fecha de Nacimiento): (mes, dia, año)
12-22-1970
City, County, and State of Former Residence
(Ciudad, Condado, Estado de su residencia anterior)
Social Security No. (Optional) (Número de Seguro Social) (optativo)
Check appropriate box: I AM A UNITED STATES CITIZEN [X] Yes [ ] No
(Marque el cuadro apropiado: Soy Ciudadano/a de los Estados Unidos) (Sí) (No)
TX Driver's License No., or Personal I.D. No. (Issued by TX Dept. of Public Safety) (Optional) (Número de su licencia tejana de manejar o de su Cédula de Identidad expedida por el Departamento de Seguridad Pública de Tejas) (optativo)
I understand that giving false information to procure a voter registration is perjury, and a crime under state and federal law.
(Entiendo que el hecho de proporcionar datos falsos a fin de obtener inscripción en el registro de votantes, constituye el delito de perjurio o declaración falsa y es una infracción sancionable por ley federal y estatal.)
Telephone Number (Optional) (Número telefónico) (optativo)
I affirm that I (Declaro que soy)
Check one (Marque el cuadro)
[ ] New (Nuevo) [x] Change (Cambiar) [ ] Replacement (Reemplazar)
* am a resident of this county; (residente del condado)
* have not been finally convicted of a felony or if a felon I am eligible for registration under section 13.001, Election Code; and (que no he sido condenado/a en definitiva por un delito penal, o en caso de tal condena, que estoy habilitado/a para inscribirme, a tenor de lo dispuesto por la sección 13.001 del Código Electoral)
* have not been declared mentally incompetent by final judgment of a court of law. (no se me ha declarado mentalmente incapacitado por orden judicial.)
Signature of Applicant or Agent and Relationship to Applicant or Printed Name of Applicant if Signed by Witness and Date. (Firma del/de la solicitante o de su apoderado/a y qué parentesco tiene el/la apoderado/a con el/la solicitante. Si la firma es de un(a) testigo, escriba el nombre del/de la solicitante antes de la firma y ponga la fecha.)
04, 08 2003
Date (fecha)