The secretary of state shall prescribe the ballot format but the national offices part of the official general ballot for national and state offices shall be substantially in the form shown in this section and the state offices part of such ballot shall be substantially in the form shown in Kan. Stat. Ann. § 25-617, and amendments thereto.

STATE OF KANSASOFFICIAL GENERAL BALLOTNational and State OfficesCounty of__________November ______, ____ Year

NATIONAL OFFICES

To vote for presidential electors for candidates for president and vice-president make a cross or check mark in the square at the left of the names of the candidates. To vote for presidential electors to be selected by candidates for president and vice-president whose names are not printed on the ballot, write the persons’ names in the appropriate blank spaces and make a cross or check mark in the square at the left of the names of the candidates.

FOR PRESIDENTIAL ELECTORS FOR PRESIDENT AND VICE-PRESIDENT

Vote for One Set of Electors

JONESTERN AND DOE  Republican

ROEHEAD AND RICHARDBY   Democrat

JANEBRAND AND JOHNBERG   Independent

  Nominations

____________ AND ____________

FOR UNITED STATES SENATOR

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Vote for One

DAN BOBING, Brussell   Republican

ROBERTA SMITH, Salina   Democrat

________________________

FOR UNITED STATES REPRESENTATIVE

__________________DISTRICT

Vote for One

ELMER O’BRIEN, Wichita  Democrat

WM.T. MILLER, Maple City  Republican

________________________

When any office is not to be elected, it shall be omitted from the ballot.