The petitions used to invoke the initiative and referendum shall be substantially in the following form:
Petition to the Gardiner City Council for the Submission to the People of the Question: Shall the proposed ordinance, a copy of which is hereto attache, be adopted?
We, the undersigned, under oath, depose and say that we are qualified voters of the City of Gardiner, residing respectively at the addresses placed opposite our names, and we hereby petition the City Council to submit the foregoing question to the voter of the City of Gardiner.
Names Residences Date
______ _________ ________
Name_____Street and Number_____________
being duly sworn deposes and says that he is the circulator of the foregoing petition containing_________signatures, and that the signatures appended thereto were made in his presence and are the signatures of the persons whose names they purport to be.
Subscribed and sworn to before me this___-day of______,20
(Justice of the Peace or Notary Public)