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 III

(s. 14)

PUBLIC ELECTION

NORD-DU-QUÉBEC INSTITUTION

Certificate of Election by Acclamation

I, the undersigned, the returning officer, hereby declare that I have received and accepted the candidacy below for the following board of directors position to be filled by public election:

Institution: __________________________________________________________________________

Subregion number: __________

Name

___________________________________________________________________________________

The candidate has been declared elected.

Signed in _______________________________, on _______________________________

_______________________________

Signature

_______________________________

Returning officer’s name

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