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13 <br />Name of <br />Office <br />RECORD OF THE VOTES IN EXCESS BALLOTS <br />No. <br />NAMES OF PERSONS VOTED FOR of Votes NUMBER OF VOTES IN WORD' <br />in <br />Figures <br />/7 <br />iI <br />j <br />Certifiedby us this ........... ............ .......................... day of ------------------------------- ----------------- A. D. 1 ---------------- <br />Attest: <br />x—A ------------ <br />Clerks <br />02 <br />Judges <br />---- -- -- - . ................ ........... of ------------------------ -------------- ------------- of <br />Election Election <br />--- - --— - ------------- -- ------------------ ------- . ...... ... ..... ............................... <br />