The statements shall be in substantially the following form: "A statement of the result of election held in the county of, on the day of November, in the year of our Lord one thousand nine hundred and, to elect a member of the senate, members of the general assembly, a sheriff and coroners of said county (naming the officers as the case may be), together with the public questions voted upon, made by the board of county canvassers of said county."
N.J.S. § 19:19-10