C-48, r. 10 - Regulation respecting elections to the board of directors of the Ordre des comptables agréés du Québec

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SCHEDULE IX
(s. 36)
STATEMENT OF THE POLL
Election to the office of (president or director) of the Ordre des comptables agréés du Québec
Region ____________________________________________________________________________
Number of electors __________________________________________________________________

____________________________________________________
| | |
| Number of valid ballots |__________|
| | |
| Number of rejected ballots |__________|
| | |
| Number of outer envelopes rejected |__________|
| | |
| Number of inner envelopes rejected |__________|
| | |
| TOTAL |__________|
| | |
| Number of votes cast for |__________|
| | |
| Number of votes cast for |__________|
| | |
| Number of votes cast for |__________|
| | |
| Number of votes cast for | |
|_________________________________________|__________|
Signature of scrutineers: _______________________________________________________________


Given under my seal, at ____________________, this ______________ day of ____________________ 20__________
_________________________________________
Signature
Election secretary
O.C. 1049-91, Sch. IX.