form: Primary poll books of the primary held in the .... precinct of the county of .... on (insert date). Party Affiliation . . . . . Residence Repub- Demo- Prohibi- Social- Street and lican crat tionist ist Name of Voter number . . . . . 1 John Jones x 2 Richard Smith x 3 John Doe x 4 Richard Roe x 5 Charles Lee x . . . . . This is to certify that the above and foregoing is a correct list of primary voters at a primary held on (insert date) in the .... precinct, in .... county, and State of Illinois. That at the primary the undersigned judges served as required by law and are entitled to pay therefor. Dated (insert date). ............................ ............................ ............................ ............................ ............................ ............................ Judges of primary The primary poll books shall otherwise be in form and shall contain the same certificates as nearly as may be as the poll books used in the general election and shall be signed and attested in the same manner, as nearly as may be, as the poll books used for the purpose of general elections. If Article 4, 5 or 6 of this Act applies to any such primary the official poll record provided for in such applicable Article shall be used in lieu of poll books. Party Affiliation . . . . . Residence Repub- Demo- Prohibi- Social- Street and lican crat tionist ist Name of Voter number . . . . . 1 John Jones x 2 Richard Smith x 3 John Doe x 4 Richard Roe x 5 Charles Lee x . . . . .
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