The certification of provisional ballot count shall be a table containing the following elements:
The certification shall also contain the following:
STATE OF SOUTH DAKOTA)
) SS
COUNTY OF _____________)
We (list names), appointed as the provisional ballot counting board or provisional ballot resolution board in the jurisdiction of __________ for the ________________ election held on the ____ day of _______________, 20 _____, hereby certify that the foregoing is a true abstract of the provisional votes which were counted for this jurisdiction.
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
Sworn to before me this _______ day of _______________, 20_____.
________________________
Person in Charge of the Election
S.D. Admin. R. 5:02:17:13
General Authority: SDCL 12-20-13.1.
Law Implemented: SDCL 12-20-13.1.