It would help if we knew which city, ward, and precinct this ballot is for. Each is different. I conducted a random sampling of ballots on the Cuyahoga County web site and found that most had Bush/Cheney listed first. I did find one ballot that matched this one: for Cleveland, Ward 4, Precinct F (4-F). The ballot shown on the website did not have the numbers and arrows on it.
Having worked with this type of voting system before, I can say that you can't tell whether fraud has been attempted just by looking at the sample ballot. Each candidate's position is determined before the ballots are printed up and assigned in the software that drives the card counters. In order for position 4 to be counted as a Bush/Cheney vote, position 4 would have to have been assigned within the software AND the chad punched out on the card.
As far as I can tell just by the graphic provided, it appears to me that position 14 has been assigned Bush/Cheney and would line up with the arrow and the hole once the punch card was inserted into the voting table. However, as we do not know the origin of the graphic provided, we cannot determine how original/authentic it is. Since the samples provided on the website are in PDF format AND unprotected (no Acrobat security turned on), they are easy to capture and manipulate on a computer. It took me less than a minute to capture the same area on the ballot and paste it in Photoshop. From there, it is a no brainer to add whatever you want to it, or to erase something that is there and replace it with something else.
This graphic proves nothing by itself.
I voted absentee in Ohio also. You don't have to line up the ballot with the book. You just poke the corresponding hole. It's not hard. If you want to vote for GW, in this case you punch 4.
What happens if 14 is assigned to Bush, but the number 4 shows up on the printed ballot. Then you punch out 4, not 14. And when voting in person, remember that after the punch card is inserted into the slot, you don't see the numbers on the actual punch card. Nonetheless, you count down four holes from the top and punch that chad rather than the chad opposite the Bush name. How is that vote counted?
I voted absentee in Ohio also. You don't have to line up the ballot with the book. You just poke the corresponding hole. It's not hard. If you want to vote for GW, in this case you punch 4.