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<br />( <br /> <br />L <br />I <br /> <br />for use In <br />1st and 2nd primaries only <br />~...--. <br /> <br />I <br /> <br />PRECINCT: (' FUld In lIy tlectlen5 o~,t.) <br /> <br />BALLOT ACCOUNTABILITY FORM <br /> <br />I <br /> <br />ELECTION: (' Fllle".'f Elutte.s De,L) DAlE: (. Fllle"n'f (kelt..s De,L) <br />RECEIVED FROM SUPERVISOR OF ELECTIONS: <br />Democratic Ballot Cards-~ D I <<DEMSER>. I to D I <<DEMEN>>>> J =1 <<DEMB>> <br />Republican Ballot Cards-~ R I <<REPSER>. I to R I <<REPEN>>>> J =1 <<REPB>> <br />Nonpartisan Ballot Cards ~ 0 I <<OlBSER>. I to 0 I <<omEN>>>> I-I <<OTBB>> <br />RETURNED TO SUPERVISOR OF ELECTIONS: <br />Number of Unused Ballots ~ <br />(Foa" .. Ballot ,..-sf.. CMe ... - <br />.... ,....) <br />Number of Voided Ballots ~ <br />(Foa" .. VoIcW 8.rIGt [IMIDpe) <br />Number of Voted Ballots ~ <br />(Foa1l4l .. .... a.) <br /> <br />{ <br />" <br /> <br />We. the undersigned.. Inspectors, Deputy Cleric, and aerie of this eJection precinct in <br />the County of Dade. and the State of Florida, do hereby certify that the foregoing <br />information is true in aU respects" <br /> <br />1 9 <br /> IDspcctcr Inspedar <br />2 10 <br /> IDspectar IP~<< <br />3 11 <br /> -~ Jup-et.ar <br />4 12 <br /> Irr-- ~ar <br />5 13 <br /> ~ ~~ <br />6 14 <br /> IDIpectot' ~ <br />7 <br /> IaIp-f- Dcpaly CIIIk, <br /> . <br />I <br /> rv- aat <br /> <br />", <br /> <br />( <br /> <br />. ", <br />rRlS &ULOT ACCOUN'l'ABIUTr FORM MVST BE PLACED INTO f'HE BALLOT ~ <br />CASE AND BROOOH'l' INTO FOUR DESlGNATED :COUECf70N CENTER ON ELBC'DON <br />NlGII'l. ~ <br />Rev. 03/2119l' <br /> <br />". <br /> <br />" " <br />. . <br /> <br />3.25 <br />