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13 <br />Name of <br />Offiee <br />RECORD OF THE VOTES IN EXCESS BALLOTS <br />NAMES OF PERSONS VOTED FOR <br />Certified by us this <br />Attest: <br />No. <br />of VOWS <br />in <br />Figures <br />day of <br />Clerks <br />of <br />Election <br />NUMBER OF VOTES IN WORDS <br />, A. D. 19._!:(2f: <br />Judges <br />of <br />Election <br />