MO Rev Stat § 115.461 (2021)
2021 Missouri Revised Statutes|Title IX - Suffrage and Elections|Chapter 115 - Election Authorities and Conduct of Elections|Section 115.461 - Tally book, form of — tally sheet, form of — statements of returns, form of (paper ballots).

Effective - 01 Jan 1978   115.461. Tally book, form of — tally sheet, form of — statements of returns, form of (paper ballots). — 1. The tally book for each polling place using paper ballots shall be in substantially the following form:   Tally book for ______ precincts, at the general (special, primary) election held on the ______ day of ______, 20______ AB, CD, EF, and XP judges, and ZR and LT, watchers and BH and SP challengers at this polling place, were sworn as the law directs before beginning their duties.   We hereby certify:    The number of ballots received at this polling place is ______;    The information on the official ballots received at this polling place is the same as the information on the sample ballots received at this polling place.    AB    CD Election Judges    EF    XP   We hereby certify:    The number of ballots cast at this polling place is ______;    The number of identification certificates signed at this polling place is ______;    The number of rejected ballots at this polling place is ______;    The number of spoiled ballots at this polling place is ______;    The number of ballots received at this polling place which were not cast at this election is ______;    AB    CD    EF    XP    2. At each polling place using paper ballots, two tally sheets shall be included in each tally book. The tally sheets shall be in substantially the following form:   NAMES OF PERSONS VOTED FOR AND   FOR WHAT OFFICE AND THE NUMBER   OF VOTES CAST FOR EACH PERSON   Office Candidates Tally of Votes Total Votes    MC        Governor HK         EH        Representative SS        in RK        Congress CB        VOTES FOR AND AGAINST EACH QUESTION   Question Tally of votes FOR Tally of votes AGAINST Total of votes FOR Total of votes AGAINST   1. To_____           ______           ______           2. To_____           ______            __________________     __________________     Signature of Recording  Signature of Recording   Judge  Judge     (of different political party)    3. At each polling place using paper ballots, two statements of returns shall be provided to the election judges. The statements of returns shall be in substantially the following form:   We hereby certify that MC had ______ votes for governor, and HK had ______ votes for governor and EH had ______ votes for governor; that SS had ______ votes for representative in Congress, etc.   We hereby certify that proposition number 1 received ______ votes for and ______ votes against; constitutional amendment number 1 received ______ votes for and ______ votes against, etc.    We, the duly qualified and acting Judges of the polling place for ______ precincts, at the general (special, primary) election held on the ______ of ______, 20______, in ______ county (City of St. Louis, Kansas City), Missouri do hereby certify that the foregoing is a full and accurate return of all votes cast at this polling place for all candidates and for and against all questions.   AB   CD Election Judges   EF   XP    ­­-------- (L. 1977 H.B. 101 § 12.035)  Effective 1-01-78