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12 POLL LIST —Concluded <br />Total <br />Number of <br />Votes Cast <br />NAMES OF VOTERS <br />(Write Name in Full) <br />Total <br />Number of <br />Votes Cast <br />NAMES OF VOTERS <br />(Write Name in Full) <br />981 991 <br />982 992 <br />983 993 <br />984 994 <br />985 995 <br />986 996 <br />987 997 <br />988 998 <br />989 999 <br />990 1000 <br />We do hereby certify that the foregoing is a true list of the persons voting at this Election. <br />LILLIYLrvZ.. <br />/. C <br />Judges <br />of <br />Election <br />RECORD OF ASSISTANCE GIVEN TO DISABLED VOTERS <br />NAME OF AFFIANT <br />NAMES OF JUDGES OR CLERKS OF ELECTION <br />RENDERING ASSISTANCE <br />We do hereby certify that the above is a true record of the assistance given to Disabled Voters. <br />Judges <br />of <br />Election <br />Judges <br />of <br />Election <br />FACTS SWORN TO <br />_ Judges <br />of <br />Election <br />Certify Whether Assistance is Given or Not. <br />