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FORM 265-A C . T. STATEMENT AND CERTIFICATE OF DETERMINATION-ThE C . F . UOCCKI . CO DENVOR _ Statement and Certificate of Determination of an Election held day o NU M NAMES OF CANDIDATES OR PROPOSITIONS OFFICE VOTED FOR / . - - 7- c9/2I2 5 - - - - - iiIi IIiiI - J t 4 / 7 vd /1 1 - - 4 STATE 93 COLORjWO County We, the undersigned, Canvassers of the Election RetrI 3 do hereby certify that the above and foregoing is a true and correct abstract of the votes cast at said election, as sh(V1 WITNESS our hands and seals this day of , A. D. 19 Attest Clerk By . Deputy. ---PAGE BREAK--- / , Colorado, on the 1 9 BERS OF WARDS AND PRECINCTS AND VOTES CAST IN EACH Total No . of Votes Cast 1/ risofanElectionheldinsaid (City ofTown of) of , A. D. 192, for the election of rn by the abstracts for the several voting precinct(n said _ T in the State of Colorado, Clerk. - . Mayor- JOacQf-the2caae.