Names of offices Tally of votes
and candidates: (to be tallied in blocks Total vote
of five as:) (as:)
For
representative
in Congress:
John Doe //// Ninety-nine
We further certify that the total vote set opposite the name of each candidate is the total number of votes received by him in the precinct of election.
(Leaving lines with designation, for signatures of clerks and board of election or tally board.)
WARNING - The above text was curent June 2003, but may be outdated now.