The county elections officialâs statement to the Secretary of State of the number of signers shall be in substantially the following form: statement of county elections official of number of signers I, County Elections Official of the County of ____, hereby certify that I have examined the ____ hereto attached filed on behalf of ____, candidate for nomination to the office of ____ at the primary election to be held on the __ day of ____, 20_, and that the total number of signatures which I have not marked ânot sufficientâ is ____. Dated this __ day of ____, 20_. __County Elections Official ( seal ) By _________ Deputy
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