Certification of County Elections Official of the Results of the Canvass of the __________ __________, 20___ __________ Election
STATE OF CALIFORNIA COUNTY OF __________
I, __________, County Elections Official of said county, do hereby certify that, in pursuance to the provisions of Elections Code Section 15300, et seq., I did canvass the results of the votes cast in the General Election held in said County on __________, for measures and contests that were submitted to the vote of the voters, and that the Statement of Votes Cast, to which this certificate is attached, is full, true, and correct.
I hereby set my hand and official seal this ___ day of __________, 20___ at the County of __________.
(County Seal)
__________ (Signature)
County Elections Official
County of __________
State of California
Cal. Code Regs. Tit. 2, § 19098
Note: Authority cited: Section 12172.5, Government Code; and Sections 10 and 2168, Elections Code. Reference: Section 15375, Elections Code; and 52 U.S.C. Section 21083.