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Mail Ballot Place of Deposit Signature Log by ls723a4r

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									                      Mail Ballot Place of Deposit Signature Log
                      Election officials at the place of deposit must keep a log of the names of all electors from whom the officials receive ballots; deposit the
                      unopened return/verification envelope in the sealed ballot transport box provided for that purpose; and securely retain all ballots until
                      they are transported to the election administrator's office.


LOG TO BE COMPLETED AT PLACE OF DEPOSIT AND RETURNED TO ELECTION ADMINISTRATOR



                                                               __________________________ County

                                                               __________________________ Election

                                                               __________________________ Date

                                                               __________________________ Election Official


                NAME OF ELECTOR                                      SIGNATURE OF INDIVIDUAL                                 DATE                    DATE
                                                                        DEPOSITING BALLOT                                   BALLOT                  BALLOT
                                                                                                                            ISSUED                 RETURNED

								
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