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RECORD OF THE VOTES IN EXCESS BALLOTS. <br />NAME OF OFFICE <br />NAMES OF PERSONS VOTED FOR <br />Certified by us this <br />Attest: <br />,g <br />No. of <br />Votes in <br />Figures <br />day of <br />Clerks <br />of <br />Election. <br />NUMBER OF VOTES IN WORDS <br />A. D. 192_. <br />Judges <br />of <br />Election. <br />