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101, <br />�AL <br />NUMBER OF PERSONS <br />RE8ISTERED AT 7AM __-___ <br />NUM8ER OF PERSONS <br />REGISTERING ON <br />ELECTION DAY <br />NUMBER OF SIGNATURES ` <br />ON VOTER LIST <br />(VOTER RECEIPTS) ....... ... _ ' <br />TOTAL NUMBER OF <br />PERSONS VOTIN8 IN <br />THE PRECINCT <br />[HE PROPER BALLOTS FOR <br />�HE PRECINCT WERE USED <br />�OR VOTING� <br />W OF THE BALLOTS CAST <br />�ERE PROPERLY CAST AND <br />[HE NUMBERS ENTERED ON <br />[HIS SUMMARY STATEMENT <br />�HOW THE NUMBER OF VOTES <br />�AST FOR EACH CANDIDATE <br />WOR QUESTION; <br />rHE NATI0��L FLA8 OF THE . <br />)NITED STATES WAS FLOWN <br />)URIN8 THE TIME THAT <br />�LECTlON JUD8ES WERE <br />MIND <br />'HE TOTAL NUMBER OF <br />�OUNTED BALLOTS A8REES <br />DTH THE NUMBER OF <br />lLL BALLOTS REQUIRIN8 <br />VUPLICATION ARE IN THE <br />`ROPER ENVELUPES AND ALL <br />)RITE -IN VOTES HAVE BEEN <br />`ROPERLY REC0RDED� AND <br />A -L 8ALLOTS USED IN THE <br />IECTION HAVE BEEN <br />�ECURELY SEALED. <br />