S-4.2, r. 11 - Regulation respecting the election by the public of certain members of the board of directors of a public institution

Schedule Disposition versions

2012-09-01

SCHEDULE IX

(s. 33)

PUBLIC ELECTION

Compilation of Vote Counts and Draw Results

Institution(s): ________________________________________________________________________

Polling location(s): ___________________________________________________________________

Polling date: ______________________

Polling period: ____________________

(1) Compilation of vote counts

Candidates Number of votes

(1) ____________________ ____________________

(2) ____________________ ____________________

(3) ____________________ ____________________

(4) ____________________ ____________________

(5) ____________________ ____________________ Valid ballots __________

(6) ____________________ ____________________ Rejected ballots __________

(7) ____________________ ____________________ Total __________

(8) ____________________ ____________________

(9) ____________________ ____________________

(10) ____________________ ____________________

(2) Draw results

The following candidates received the same number of votes:

______________________________

______________________________

______________________________

______________________________

A random draw was held on ____________________, in ____________________

The following candidates’ names were drawn:

______________________________

______________________________

Signed in ____________________, on ____________________

______________________________

Signature

______________________________

Returning officer’s name

M.O. 2006-016, Sch. IX.