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AECLABEL 4
Polling place
Division
RETURN OF MATERIALS FROM POLLING PLACE
PAPER CERTIFIED LISTS
Officer in Charge
I declare that all certified lists are included in this package.
Name
Signature
Date
/
/
Witness
I witnessed the packaging of all certified lists in this package.
Name
Signature
Date
/
/
Seal this package with tamper evident tape then stick label in a prominent position
Package contains
Number of certified lists
Number of reference rolls (if issued)