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Oath of Identity by Voter receiving a Ballot Paper, after another has voted in his Name.

You swear (or solemnly affirm) that you are (name), of (as on the list of voters), whose name is entered on the list of voters now shown you. So help you God. 63-64 V., c. 12, form V.

BB

Oath of Voter unable to mark his Ballot Paper.

You swear (or solemnly affirm) that you are unable to read and understand the ballot paper so as to mark it, (or that you are incapacitated by blindness or other physical cause, as the case may be), from voting without assistance. So help you God. 63-64 V., c. 12, form W.

CC

Oath of the Deputy Returning Officer after the closing of the

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Poll.

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I, the undersigned, deputy returning officer for the polling division No. of the electoral district of do swear (or solemnly affirm) that, to the best of my knowledge and belief, the poll book kept for the said polling division, under my direction, has been so kept correctly; that the total number of votes polled in the said poll book is and that it contains a true and exact record of the votes given at the polling station in the said polling division, as the said votes were taken thereat; that I have faithfully counted the votes given for each candidate, in the manner by law provided, and performed all duties required of me by law, and that the report, poll book, packets of ballot papers, and other documents required by law to be returned by me to the returning officer, have been faithfully and truly prepared and placed within the ballot box, as this oath (or affirmation) will be, to the end that the said ballot box,

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box, being first carefully sealed with my seal, may be transmitted to the returning officer according to law.

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Oath of the Poll Clerk after the closing of the Poll.

I, the undersigned, poll clerk for the polling division No. of the electoral district of

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do swear (or do

solemnly affirm) that the poll book in and for the said (as the case may be), under the direction of G. H., who has acted as deputy returning officer therein, has been so kept by me, under his direction as aforesaid, correctly and to the best my skill and judgment; that the total number of votes polled in the said poll book is and that to the best of my knowledge and belief it contains a true and exact record of the votes given at the polling station in the said polling division (as the case may be) as the said votes were taken at the said poll by the said deputy returning officer.

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Sworn (or affirmed) and subscribed before me, at

this

day of

I. J., Poll Clerk.

, in the year 19

C. D.,

Justice of the Peace.

or A. B.,

Returning Officer.

or G. H.,

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Deputy Returning Officer.

63-64 V., c. 12, form Y.

101

147

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Statement of the Poll, after counting the Ballots.

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I hereby certify that the above statement is correct.

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I, the undersigned, deputy returning officer for polling division No. in the electoral district of in do hereby certify that, at the election held this day, for a member to serve in the House of Commons,

the province of

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the hereinafter mentioned candidates received the number of ballot papers set opposite their respective names, viz. :—

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Oath of Messenger sent to collect the Ballot Boxes.

I, R.S., of

, messenger appointed by A. B.,

returning officer for the electoral district of the province of

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in

do swear (or solemnly affirm) that now delivered

the several boxes, to the number of by me to the said returning officer have been handed to me by the several deputy returning officers at the present election for the said electoral district (or by-here insert the names of the deputy returning officers who have delivered the said boxes); that they have not been opened by me, or any other person; and that they are in the same state as they were in when they came into my possession. (If any change has taken place, the deponent shall vary his deposition by fully stating the circumstances.) R. S.

Sworn (or affirmed) and subscribed before me, at

this

day of

63-64 V., c. 12, form BB.

149

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in the year 19

C. D.,

Justice of the Peace.

or A. B.,

Returning Officer.

or G. H.,

Deputy Returning Officer.

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Return after a Poll has been taken.

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I hereby certify that the member (or members) elected for the electoral district of in pursuance of the within written writ, as having received the majority of votes lawfully given, is (or are) A. B., etc., (names, etc., in the nomination papers).

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of

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for an election being held for the electoral district of a member of the House of Commons. The said informant says that he believes that T. U. (or that a person whose name is to the informant unknown but who is now detained in the said polling station under my order, (or as the case may be), on this day at the said polling place did commit the offence of personation by (describing the offence).

Taken and sworn before me at the said polling station, the day and year above mentioned.

G. H.,

Deputy Returning Officer.

63-64 V., c. 12, form DD.

JJ

Warrant for Arrest of Person charged with Personation.
Canada.

Province of

County of

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To all or any of the constables and other peace officers in the county of

Whereas, before the undersigned, a deputy returning officer at a polling station in the

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for an election

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