S-4.2, r. 12 - Regulation respecting the election by the public of certain members of the board of directors of the public institution referred to in Part IV.2 of the Act respecting health services and social services

Schedule Disposition versions

2012-09-01

SCHEDULE X

(s. 35)

PUBLIC ELECTION

NORD-DU-QUÉBEC INSTITUTION

Certificate of Election

To the president and executive director of __________(Institution)__________

I, the undersigned, the returning officer, declare that the following candidates were elected to the board of directors of the above institution in the election held on ______________________________ in each of the subregions below.

Name Subregion (number)

(1) _____________________________________________

(2) _____________________________________________

(3) _____________________________________________

(4) _____________________________________________

(5) _____________________________________________

Signed in _____________________, on ____________________

______________________________

Signature

______________________________

Returning officer’s name

M.O. 2006-014, Sch. X.