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Annex 4
Election of the President of the Russian Federation
March 26, 2000
_______________________________________________
(name of the Subject of the Russian Federation)
_______________________________________________
(name of the territorial election commission)
STATEMENT
on the compliance of the data entered into the SAS «Vybory» with the first copies of the protocols submitted by precinct election commissions
Workstation No. ________
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Precinct No.
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Full name of the representative of the precinct election commission
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Signature of the representative of the precinct election commission who received the computer printout
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Signature of the supervisory group member who issued the printout
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Date
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Time
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System administrator
_________________________
signed Initials, last name
Members of the supervisory group
_________________________
signed Initials, last name
_________________________
signed Initials, last name
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signed Initials, last name
Note: The Statement shall be filled out chronologically as the data of the protocols submitted by precinct election commissions are entered into the system.
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