(b) When the required number of names have been selected for the jury pool, the jury coordinator shall place a list of those names in an envelope, and with the list shall be enclosed a report prepared and signed by the jury coordinator. A copy of the list and report shall be retained by the jury coordinator for use under this chapter, and the report shall provide substantially as follows:
To the Honorable ______________, Presiding Judge of the ______________ Judicial District, at ______________ County:
I, ______________ , the jury coordinator for such county, report that the enclosed names, which have been drawn according to law, constitute the jury pool for the upcoming jury service term:
This the ______________ day of ______________, ______________.
______________
Jury Coordinator