tally sheet

a sheet for checking, counting, or scoring, as of cargo loaded or unloaded.
Also called tally card.

1885–90, Americanism

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Based on the Random House Dictionary, © Random House, Inc. 2014.
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Example sentences
Then periodically return to the survey page, using the tally sheet to help you
  fill out the survey.
If personnel time is limited, a simple tally sheet should be used.
Record the codes, on the tally sheet, including case codes if available.
The measurement tally sheet requirements for sample scaling are those required
  for the two other systems of measurement employed.
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