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C-26, r. 230 - Regulation respecting elections to the board of directors of the Ordre professionnel des techniciens et techniciennes dentaires du Québec

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SCHEDULE IX
(s. 30)
STATEMENT OF THE POLL
Election to the office of (president or director) of the Ordre professionnel des techniciens et techniciennes dentaires du Québec
Region (where applicable) ______________________________
Number of electors ______________________________

__________________________________________________________
| | |
| Number of valid ballots |__________|
| | |
| Number of valid ballots rejected |__________|
| | |
| Number of outer envelopes rejected |__________|
| | |
| Number of inner envelopes rejected |__________|
| | |
| TOTAL |__________|
| | |
| Number of votes cast for |__________|
| | |
| Number of votes cast for |__________|
| | |
| Number of votes cast for |__________|
| | |
| Number of votes cast for | |
|_______________________________________________|__________|
Signature of scrutineers: ______________________________________________________________
______________________________________________________________
______________________________________________________________
Given under my seal, at _____________________ this __________ day of _______________________ 20__________
__________________________________________
Signature of election secretary
O.C. 825-91, Sch. IX.
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