Arizona Statutes § 16-517 Form of tally listVersion dated Oct. 30, 2024

The tally list shall be in the following form:

We hereby certify the following to be a true tally of the votes for the candidates and offices shown herein cast at the election held on the day of , 20 in election precinct, county, Arizona:

Names of offices Tally of votes

and candidates: (to be tallied in blocks Total vote

of five as:) (as:)

For

representative

in Congress:

John Doe //// Ninety-nine

We further certify that the total vote set opposite the name of each candidate is the total number of votes received by that candidate in the precinct of election.