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C-19 - Cities and Towns Act
Schedule
Disposition versions
2
(Repealed).
2
(Sections 126, 128)
ŠElectoral ListŠŠCity (or Town) of ................... Ward no ...............ŠŠ==============================================================Š . . Number of. . . . Š . . building . Surname. . . ŠNo. Street. and . and . Occupation. Age. QualificationŠ . . apartment. Given . . . Š . . or of . Names . . . Š . . cadastre . . . . Š--.-------.----------.--------.-----------.----.--------------Š1 . . . . . . Š . . . . . . Š2 . . . . . . Š . . . . . . Š3 . . . . . . Š--------------------------------------------------------------ŠŠ Made at ....................., on ......................Š Place DateŠŠ We, the undersigned, certify that so far as we haveŠparticipated in its making the foregoing list is correct to theŠbest of our knowledge and that nothing has been illegally orŠfraudulently entered therein or omitted therefrom. So help usŠGod!ŠŠ Sworn before me, ............................Š Returning-OfficerŠŠ at ........................ ..............................Š EnumeratorŠŠ on ........................ ..............................Š EnumeratorŠŠA. B. justice of the peace.
