This government document is issued by San Juan County for use in Colorado
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https://www.google.com/url?client=internal-element-cse&cx=a43e046d0137b4bb5&q=https://sanjuancounty.colorado.gov/sites/sanjuancounty/files/2021-05/writable_nov_protest_form_2021.pdf&sa=U&ved=2ahUKEwjE6Pyx75mHAxXvgP0HHdJbCn44ChAWegQIAhAB&usg=AOvVaw2JP9qtTV5GQeG6X0YcG1N3&fexp=72519171,72519168