Missouri Revised Statutes Title IX. Suffrage and Elections § 115.461. Tally 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

2. At each polling place using paper ballots, two tally sheets shall be included in each tally book. The tally sheets shall be in substantially the following form:

NAMES OF PERSONS VOTED FOR AND FOR WHAT OFFICE AND THE NUMBER OF VOTES CAST FOR EACH PERSON

			Total
Office	Candidates	Tally of Votes	Votes
	MC
	HK
Governor	EH
Representative	SS
in	RK
Congress	CB

VOTES FOR AND AGAINST EACH QUESTION

Question	Tally of	Tally of	Total of	Total of
	votes	votes	votes	votes
	FOR	AGAINST	FOR	AGAINST
1.	To _____________
2.	To _____________
․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․	․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
Signature of Recording Judge	Signature of Recording Judge
	(of different political party)

3. At each polling place using paper ballots, two statements of returns shall be provided to the election judges. The statements of returns shall be in substantially the following form:

We hereby certify that MC had ․․․ votes for governor, and HK had ․․․ votes for governor and EH had ․․․ votes for governor; that SS had ․․․ votes for representative in Congress, etc.

We hereby certify that proposition number 1 received ․․․ votes for and ․․․ votes against; constitutional amendment number 1 received ․․․ votes for and ․․․ votes against, etc.

We, the duly qualified and acting Judges of the polling place for ․․․ precincts, at the general (special, primary) election held on the ․․․ of ․․․․․․, 20․․․, in ․․․․․․ county (City of St. Louis, Kansas City), Missouri do hereby certify that the foregoing is a full and accurate return of all votes cast at this polling place for all candidates and for and against all questions.

AB

CD Election Judges

EF

XP