O-7.2, r. 1 - Regulation respecting the procedure for designating certain members of the board of directors of integrated health and social services centres and unamalgamated institutions

Schedule Disposition versions

2018-02-14

Schedule V

(ss. 18 and 32.3)

DESIGNATION
Vote Count Report

  

M.O. 2015-005, Sch. V; M.O. 2018-002, s. 11.

2015-04-08

SCHEDULE V

(Section 18)

DESIGNATION

Vote Count Report

Institution(s): _______________________________________________________

Designation college: __________________________________________________

In accordance with the polling notice, the vote count took place on:

Date: ___________________________________

Time: ___________________________________

Place: ___________________________________

Mail poll:

Envelopes identified: ___________

Envelopes containing no vote envelopes: ___________

Envelopes containing more than one vote envelope: ___________

Vote envelopes counted: ___________

Uncounted vote envelopes: ___________

Poll in person:

Valid ballots: ___________

Rejected ballots: ___________

Candidates Number of votes

(1) __________________________ ______________________

(2) __________________________ ______________________

(3) __________________________ ______________________

(4) __________________________ ______________________

(5) __________________________ ______________________

Signed in __________________________, on____________________________

___________________________________

Signature

______________________________________________________________

Name of designation officer or assistant officer

______________________________________________________

______________________________________________________

Name(s) of scrutineer(s)

M.O. 2015-005, Sch. V.