Such election shall be by ballot which shall be signed by the voter, and shall have thereon a list of the land and lots which the voter claims the right to vote. The ballot shall be in the following form, and ballots at annual elections shall be in similar form.

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List of Property on Which Vote is Based.
Number of
Section Town or Range or Acres or
Description or Lot Block City Lots
………… …….. …….. …….. ……..
………… …….. …….. …….. ……..
………… …….. …….. …….. ……..
Total number of votes claimed on same …………..
Nature of title to or interest in above …………
For formation of district ……………………..
…….. Yes
…….. No
Vote for …………..