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<br />ilia <br /> <br />EXHIBIT IV <br />PRECINCT: <br /> <br />t I <br /> <br />BALLOT ACCOUNTABILITY FORM <br /> <br />I <br /> <br />ELECTION: <br /> <br />DATE: <br /> <br />RECEIVED FROM SUPERVISOR OF ELECTIONS: <br /> <br />Ballot Cards ........................ <br /> <br />to <br /> <br />= <br /> <br />RETURNED TO SUPERVISOR OF ELECTIONS: <br /> <br />Number of Unused Ballots ................................................................... <br />Number of Voided Ballots '. ................................................................. <br /> <br />Number of Voted Ballots <br /> <br />............ ..... ..... ............................................. <br /> <br />(, <br />" <br /> <br />We, the undersigned, Inspectors, Deputy Clerk and Clerk of this election precinct in the <br />County of Dade, and the State of Florida, do hereby certify that the foregoing information <br />is true in all respects. <br /> <br />Inspector Inspector <br />Inspector Inspector <br />Inspector Inspector <br />Inspector Inspector <br />Inspector Inspector <br />Inspector Inspector <br />Inspector Deputy Clerk <br />Inspector Clerk <br /> <br />I( <br /> <br />THIS BALLOT ACCOUNTABILITY FORM MUST BE PLACED INTO THE BALLOT TRANSFER CASE AND BROUGHT <br />INTO YOUR COLLECTION CENTER ON ELECTION NIGHT. <br /> <br />0- <br /> <br />T- <br /> <br />& <br /> <br />Rev. 1218/93 <br />