Poll Book, Tally List and Official Returns



Poll Book, Tally List and Official Returns(For Public School Districts) First, Annual and Special ElectionSTATE OF NORTH DAKOTA County of ___________________________________ School DistrictAt an election held at in Public School District No. , County of , State of North Dakota, on the day of ,20 , the polls of said election being open at 11:00 a.m. of said day and continuing open until 7:00 p.m. of the same day, the following oaths were taken by the Judges and Clerks of Election.*I do solemnly **swear (or affirm) that I will perform my duties as Judge according to law and the best of my ability.I do hereby certify that the above oath was administered by me to , Judge of said Election, and by him subscribed in my presence previous to opening the polls.Office Title*I do solemnly **swear (or affirm) that I will perform my duties as Judge according to law and the best of my ability.I do hereby certify that the above oath was administered by me to , Judge of said Election, and by him subscribed in my presence previous to opening the polls.Office Title*I do solemnly **swear (or affirm) that I will perform my duties as Clerk according to law and the best of my ability.I do hereby certify that the above oath was administered by me to , Clerk of said Election, and by him subscribed in my presence previous to opening the polls.Office Title*I do solemnly **swear (or affirm) that I will perform my duties as Clerk according to law and the best of my ability.I do hereby certify that the above oath was administered by me to , Clerk of said Election, and by him subscribed in my presence previous to opening the polls.Office Title* Such oath or affirmation may be administered by any officer authorized to administer oaths, or by either of the Judges or Clerks**If an oath, strike out the words "or affirm." If an affirmation, strike out the words "Swear, or."No.NameAddress12345678910123456789201234567893012345678940No.NameAddress12345678950123456789601234567897012345678980No.NameAddress12345678990123456789100123456789110123456789120No.NameAddress123456789130123456789140123456789150123456789160Tally ListFirst and Annual Election--Public School DistrictUse One or More Lines, as May be Required for Each NameNames of Candidates5101520253035404550556065707580859095100TotalFor Member of School Board for a term of___ year(s).For Member of School Board for a term of___ year(s).For Member of School Board for a term of___ year(s).Tally List for Special Election--Public School DistrictForAgainstForAgainstForAgainstOfficial ReturnsFirst and Annual Election, Public School DistrictGive Number of Ballots Both in Words and FiguresWe hereby certify that at an election held in Public School District No. County of , State of North Dakota, on the day of , 20______there were votes cast for Member of School Board in said Public School District for the term of year(s),of which received votes;of which received votes; of which received votes; of which received votes; having received the highest number of votes is hereby declared elected Member of School Board for the term of year(s).There were votes cast forMember of School Board in said Public School District for the term of year(s)of which received votes; of which received votes; of which received votes; of which received votes; having received the highest number of votes is hereby declared elected Member of School Board for the term of year(s).There were votes cast forMember of School Board in said Public School District for the term of years(s).of which received votes; of which received votes; of which received votes; of which received votes; having received the highest number of votes ishereby declared elected Member of School Board for the term of year(s).Official Returns for Special Election-Public School DistrictWe hereby certify that an election of the voters of the Public School District No. held at in Public School District No. , County of , State of North Dakota, on the day of , 20 , for the purpose of determining the question of There were votes cast upon the question of of which votes were for of which votes were against . The majority of all votes cast being (For, etc., or Against , etc., stating the proposition)The question of is hereby declared to be (Carried or Lost)There were votes cast upon the question of of which votes were for of which votes were against . The majority of all votes cast being (For, etc., or Against , etc., stating the proposition)The question of is hereby declared to be (Carried or Lost) Clerk Judge Clerk JudgePoll Book, Tally List and Official Returns of Election Held in Public SchoolDist. No. County of State of North Dakota _____________________________20____STATE OF NORTH DAKOTACounty of Filed in my office this day of___________________________20____Business ManagerCounty Superintendent or DesigneeOne copy to be filed with the Business Manager, the other to be returned to the County Superintendent or Designee. ................
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