State of Vermont | ) | |
) | s.s. | |
County | ) |
At . ............................., on the ............ day of ..................... 20 .........., a canvassing committee appointed by law completed a canvass of the returns cast at a general election held on the ................ day of .............................., 20 ........ for the office of ..................... . The committee hereby certifies that .......................................... of .................... was duly elected to the office by the voters present and voting.
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17 V.S.A. § 2592