The tally list shall be in the following form:
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.
(Leaving lines with designation, for signatures of clerks and board of election or tally board.)