C-26, r. 37 - Regulation respecting terms and conditions for election to the board of directors of the Ordre professionnel des comptables en management accrédités 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 comptables en management accrédités du Québec
Region (where applicable) ___________________________________________________________
Number of electors _________________________________________________________________

__________________________________________________________
| | |
| Number of valid ballot papers |__________|
| | |
| Number of ballot papers rejected |__________|
| | |
| Number of outer envelopes rejected |__________|
| | |
| Number of inner envelopes rejected |__________|
| | |
| TOTAL |__________|
| | |
| Number of ballot papers cast for |__________|
| | |
| Number of ballot papers cast for |__________|
| | |
| Number of ballot papers cast for |__________|
| | |
| Number of ballot papers cast for |__________|
| | |
|_______________________________________________|__________|
Signature of scrutineers: _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Signed at ______________________________ this ______________________________ day of ______________________________ 20__________

(signature)
Election secretary
O.C. 141-91, Sch. IX.