Tally book for ______ precincts, at the general (special, primary) election held on the ______ day of ______, 20______ AB, CD, EF, and XP judges; and ZR and LT, watchers; and BH and SP, challengers, at this polling place, were sworn as the law directs before beginning their duties. | |
We hereby certify: | |
The number of ballots received at this polling place is ______; | |
The information on the ballot cards and ballot labels received at this polling place is the same as the information on the sample ballots received at this polling place. | |
AB | |
CD Election Judges | |
EF | |
XP | |
We hereby certify: | |
The number of ballots cast at this polling place is ______; | |
The number of identification certificates signed at this polling place is ______; | |
The number of defective ballots at this polling place is ______; | |
The number of spoiled ballots at this polling place is ______; | |
The number of voters casting proper write-in votes at this polling place is ______; | |
The number of ballots received at this polling place which were not cast at this election is ______; | |
AB | |
CD Election Judges | |
EF | |
XP |
We hereby certify that BK had ______ write-in votes for governor, and SF had ______ write-in votes for governor, that JH had ______ write-in votes for representative in Congress, etc. We, the duly qualified and acting judges of the polling place for ______ precincts, at the general (special, primary) election held on the ______ day of ______, 20______, in ______ County (City of St. Louis, Kansas City), Missouri, do hereby certify that the foregoing is a full and accurate return of all write-in votes cast at this polling place for all candidates. |
AB |
CD Election Judges |
EF |
XP |
§ 115.473, RSMo