ANOKA COUNTY OFFICIAL PRECINCT CERTIFICATION

							                                            Ballot Tracking Form

MUNICIPALITY:                  WARD/PRECINCT:                                                  DATE:
                                                                      Election Name


                                    BALLOT DELIVERY CERTIFICATION
Confirm and record the number of sealed ballot packs:

                      Number of sealed ballot packs delivered: _______ @ 100 ballots per pack
                      Recorded by City Clerk/Election Official

                      Number of sealed packs received:                      _______ @ 100 ballots per pack
                      Recorded by Election Judges


Oath of Confirmation:

We, the election judges, certify that the above number of ballots were received for this election.

Two election judges must sign below.

                 __________________________                           __________________________
                              Election Judge                                          Election Judge


                                      ELECTION NIGHT BALLOT AUDIT

Confirm ballot quantities delivered to the precinct match the ballot quantities at the end of the night:

                                                     A. Unused Ballots:
                      1) Number of sealed packs remaining: _______ @ 100 per pack = ______
                                                                                                            +
                      2) Number of unused ballots not in packs:                                                 _______

                                                      B. Used Ballots:
                      3) Number of spoiled ballots:                                                         + _______


                      4.) Number of ballots for which duplicates were made:                                 + _______


                      5) Total ballots in ballot box:                                                        ________
                                                                                                            =
                      Total number of ballots: (Add totals from 1+2+3+4+5):                                  ________


Two election judges must sign below.

                 __________________________                           __________________________
                                    Election Judge                                         Election Judge




                                               Return in Results Envelope A

                                                             -over-
                          Ballot Tracking Form – Actual Count

Instructions: Hand count ballots and record the total for each opened ballot package.


   Package 1                     Package 21                        Package 41


   Package 2                     Package 22                        Package 42


   Package 3                     Package 23                        Package 43


   Package 4                     Package 24                        Package 44


   Package 5                     Package 25                        Package 45


   Package 6                     Package 26                        Package 46


   Package 7                     Package 27                        Package 47


   Package 8                     Package 28                        Package 48


   Package 9                     Package 29                        Package 49


   Package 10                    Package 30                        Package 50


   Package 11                    Package 31                        Package 51


   Package 12                    Package 32                        Package 52


   Package 13                    Package 33                        Package 53


   Package 14                    Package 34                        Package 54


   Package 15                    Package 35                        Package 55


   Package 16                    Package 36                        Package 56


   Package 17                    Package 37                        Package 57


   Package 18                    Package 38                        Package 58


   Package 19                    Package 39                        Package 59


   Package 20                    Package 40                        Package 60




                                    Return in Results Envelope A