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RECORD OF THE VOTES IN EXCESS BALLOTS <br />Name of <br />Office <br />NAMES OF PERSONS VOTED FOR <br />10 20 <br />5 5 <br />5 5 <br />Certified by us this / day of , A. D. 19 , <br />Attest: <br />Number of -Ballots voted_ <br />11 <br />„ <br />17 <br />Clerks <br />of <br />Election <br />3 <br />q <br />" Unofficial Ballots voted <br />" Ballots delivered to voters z7__� <br />" Spoiled Ballots_ 021 <br />" Ballots returned, No to___ �/ <br />Certified by us this day of_._._ :� _...___. _...., 19 `T <br />'1'GlAL <br />Judges <br />of <br />Election <br />Judges <br />of <br />>7x2___� M Election <br />