Name of Form: Summary of Provisional Ballots. Section Reference: Section 65.058, Texas Election Code. Purpose: Record number of provisional ballots cast per precinct. Number of Copies Required: One. Completed by: General Custodian. Filing Date: At the Central Counting Station. Filed with: Kept with provisional ballots. Comments: Current form is 3/07.
8-18
AW8-18 Prescribed by Secretary of State Section 65.058, Texas Election Code 3/07
Type of Election
(Tipo de Elección)
Precinct. No.
(Núm. de Precinto)
Date of Election
Authority Conducting Election
(Autoridad Administrando la Elección)
Page _________ of _________
(Fecha de la Elección)
SUMMARY OF PROVISIONAL BALLOTS
PRECINCT NUMBER NUMBER OF PROVISIONAL BALLOTS PRECINCT NUMBER NUMBER OF PROVISIONAL BALLOTS
SUBTOTAL
TOTAL
The above reflects a summary of provisional ballots to be delivered to the voter registrar. The serial number(s) used to seal the box(es) before delivery are:
_________________________________ Signature of Custodian _________________________________ Signature of Poll Watcher (if applicable)