§ RSMo § 115.461Tally book, form of — tally sheet, form of — statements of returns, form of (paper ballots)

1. The tally book for each polling place using paper ballots shall be in substantially the following form: ­ Tally book for ______ precincts, at the general (special, primary) election held on the ______ day of ______, 20______ AB, CD, EF, and XP judges, and ZR and LT, watchers and BH and SP challengers at this polling place, were sworn as the law directs before beginning their duties. We hereby certify: The number of ballots received at this polling place is ______; The information on the official ballots received at this polling place is the same as the information on the sample ballots received at this polling place. AB CD Election Judges EF XP We hereby certify: The number of ballots cast at this polling place is ______; The number of identification certificates signed at this polling place is ______; The number of rejected ballots at this polling place is ______; The number of spoiled ballots at this polling place is ______; The number of ballots received at this polling place which were not cast at this election is ______; AB CD EF XP