19:23-51.  Form of statement
Such statement shall be substantially in the following form:

Statement of the result of a primary election held in the ward election district of the of (municipality) in the  county of and state of New Jersey, on the day of  19 :

Total number of names of persons entitled to vote at the primary election was :

The total number of ballots cast was .

The total number of ballots rejected was .

(Fill in the name of the political party in each instance and the number of  ballots cast or rejected in words at length and in figures.)

For candidates of the party for the office or  position received votes.  (Fill in the name of each candidate and  number of votes received by such candidate in words at length and in figures.)
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