Just about. Runbeck ballot printing company is H@ in adjacent Arizona.
Plus,
https://www.reviewjournal.com/news/politics-and-government/2024-election-how-clark-county-counts-your-vote-3026052/
https://www.rgj.com/story/news/politics/elections/2023/08/15/nevada-washoe-county-board-commissioners-voting-ballot-printing-contract/70599694007/
prolly had to take a couple days to get >40,000 ballots printed up and shipped up to NV?