FORM P. E. NO..

(Separate Certificate to be made for each political party) ABSTRACT OF VOTES AND CERTIFICATE OF DETERMINATION OF THE COUNTY BOARD OF CANVASSERS OF THE.. .COUNTY.

In accordance with the provisions of Section 2272 Revised Statutes of Colorado 1908 page ...., Election Laws 1916, and Section 24 Primary Election Laws 1910, We, the Undersigned, County Clerk and Recorder of

County, and

Justice of the Peace, and..

Peace of..

of Canvassers for.

House in... . . .

Colorado, on the...

County, constituting the County Board . County, met at the Court

County of... State of .day of September, A. D. 19..., it

being the 10th day after the close of the Direct Primary Election held on the..... ...day of September, 19..., all the returns County, State

of the Primary Election held in.. of Colorado, being in, and opened the returns of said election and proceeded to canvass the votes cast at said Primary Election for the nomination of the following offices, viz.:

List of Offices Voted For in.....

. County and Candidates for each office, together with number of Votes received at said Primary Election, by each person, for each of said offices:

That we have carefully examined all the returns of the votes from the duly qualified Election officials of the lawful polling precincts of..... ....County as cast therein for each of the foregoing offices and that the tabulated statements or abstract of votes consisting of separate sheets for the foregoing offices are true and correct abstract of votes cast at said Primary Election for said offices and the persons for whom the same were cast; and we do further certify and determine hereby :

That..... having received the highest number of votes cast for any one person, said number being... .votes for the nomination for the office of County, on the

County Clerk and Recorder of...

Party Ticket, is hereby declared duly nom

inated for said office by the...

..Party.

(The same determination and certificate to follow for each of the County and Precinct offices.)

Total Number of Votes Registered in.

County for Primary Election of.

A. D. 19..., were....

Total Number of Ballots cast at said Primary Election of . . . . day . . . . . ..., A. D. 19. ..., were...

IN TESTIMONY WHEREOF, We, the Members of said Board, have hereunto set our hands at the Court House of...... County, in... State of Colorado, this

certify that at a meeting held at the County Clerk's office or (City Clerk's office) at the..

(Court House or City Hall of City)

.day of...

.on the ...September, A. D. 19...., ..County Clerk of. . County

....

County, proceeded

to examine and make statements of the Whole number of votes given at a Primary Election held on the .day of September, A. D. 19..., for the nomination of County, Precinct or City officers mentioned in the Notice of a Primary Election, published and posted according to law on the...

A. D. 19. ...,

....

day of

that were voted for at said Direct .day of September,

Primary Election, on the... A. D. 19...., which statements, certified to be correct and subscribed by the members of said County Board of Canvassers, with a Certificate of their Determination as to what persons were duly nominated for such offices, or any of them, endorsed and subscribed thereon, were filed in my office.

I FURTHER CERTIFY, That, by said statements and certificates of determination, it appears that....

having received the....

.highest number of votes cast at said Election for any one person for the nomination for the office of....

on the.

Ticket, said number being.

votes, was by said County Board of Canvassers declared duly nominated for said office, and that the said..

(Name of party candidate

receiving highest number of votes for office at said Primary Election)

will be placed upon the official ballot at the ensuing General Election of November .., 19. . . .

FORM P. E. NO......

(To be filed with same officer as original petition or certificate of designation was filed, not less than ten days after the day of holding Primary Election).

being first duly sworn, upon his

oath deposes and says, that the foregoing statement is in all respects true, and that the same is a full, complete and detailed statement of all money expended by him, directly or indirectly by himself or through any other person, in aid of his nomination at the Direct Primary Election of.

A. D. 19. . . ..

(Signature of subscriber.)