BALLOT PAPER FOR INMATES
OBVERSE
*****o*****o*******************************************
*****o*****o*******************************************
*****o*****o*******************************************
*****o*****o*******************************************
*****o*****o*******************************************
*****o*****o*******************************************
*****o*****o** I VOTE FOR ****
*****o*****o** ****
*****o*****o** ****
*****o*****o** --------------------------------- ****
*****o*****o** Given name and surname ****
*****o*****o** of the candidate ****
*****o*****o** ****
*****o*****o** --------------------------------- ****
*****o*****o** Political affiliation ****
*****o*****o** ****
*****o*****o*******************************************
*****o*****o*******************************************
*****o*****o*******************************************
*****o*****o*******************************************
*****o*****o*******************************************
*****o*****o*******************************************
REVERSE
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* *
* No *
* *
*oooooooooooooooooooooooooooooooooo*
* *
* No *
* *
*oooooooooooooooooooooooooooooooooo*
* *
* *
* National *
* Assembly *
* *
* *
* *
* -------------------------- *
* Deputy returning *
* officer’s initials *
* *
* Electoral division of: *
* *
* *
* *
* 21 June 1979 *
* *
* *
* Lucien Lamothe, Printer *
* 117, rue Notre-Dame est *
* Montréal *
* *
* *
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1984, c. 51, Schedule E.