05:02:17:13Certification of provisional ballot count.

The certification of provisional ballot count shall be a table containing the following elements: (1) Precinct Name; (2) Name of candidate or ballot question; (3) Number of votes received in figures; and (4) Number of votes received in words. The certification shall also contain the following: STATE OF SOUTH DAKOTA ) ) SS COUNTY OF _____________ ) We (list names), appointed as the provisional ballot counting board or provisional ballot resolution board in the jurisdiction of __________ for the ________________ election held on the ____ day of _______________, 20 _____, hereby certify that the foregoing is a true abstract of the provisional votes which were counted for this jurisdiction. _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ Sworn to before me this _______ day of _______________, 20_____. ________________________ Person in Charge of the Election

Source: 29 SDR 177, effective July 2, 2003.