State of North Carolina
County of ____
I, ____, chair of the ____ County Board of Elections, do hereby certify that the foregoing is a list of all executed absentee ballots to be voted in the election to be conducted on the ____ day of ____ , which have been approved by the county board of elections and have been received by the county board of elections not later than 7:30 P.M., or the time provided in G.S. 163-231(b), on the day of the statewide primary or general election or county bond election. I certify that the chair, member, officer, or employee of the board of elections has not delivered ballots for absentee voting to any person other than the voter, by mail or by commercial courier service or in person, except as provided by law, and have not mailed or delivered ballots when the request for the ballot was received after the deadline provided by law.
This the ____ day of ____, ____
_____________
(Signature of chair of
county board of elections)
Sworn to and subscribed before me this ____ day of ____, ____.
Witness my hand and official seal.
__________
(Signature of officer
administering oath)
________
(Title of officer)
State of North Carolina
County of ____
I, ____, chair of the ____ County Board of Elections, do hereby certify that the foregoing is a list of all executed military-overseas ballots to be voted in the election to be conducted on the ____ day of ____, ____, which have been approved by the county board of elections, and which have been received by the county board of elections not later than 7:30 P.M., or the time provided in G.S. 163-231(b), on the day of the statewide primary or general election or county bond election. I further certify that I have issued ballots to no other persons than those listed herein and further that I have not delivered military-overseas ballots to persons other than those listed herein; that this list constitutes the only precinct registration of covered voters whose names have not heretofore been entered on the regular registration of the appropriate precinct.
This the ____ day of ____, ____
_____________
(Signature of chair of
county board of elections)
Sworn to and subscribed before me this ____ day of ____, ____.
Witness my hand and official seal.
__________
(Signature of officer
administering oath)
________
(Title of officer)
N.C. Gen. Stat. § 163-232.1