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 VIII

(s. 32)

ELECTION BY THE PUBLIC

Vote Count Report

Institution: __________________________________________________________________________

Polling location: _____________________________________________________________________

Polling date: ______________________

Polling period: ____________________

Candidates Number of votes

(1) ____________________ ____________________

(2) ____________________ ____________________

(3) ____________________ ____________________

(4) ____________________ ____________________ Valid ballot papers __________

(5) ____________________ ____________________ Rejected ballot papers __________

(6) ____________________ ____________________ Total __________

(7) ____________________ ____________________

(8) ____________________ ____________________

(9) ____________________ ____________________

(10) ____________________ ____________________

Signed in ____________________, on ____________________

______________________________

Signature

_________________________________________________

Name of the returning officer or deputy returning officer

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