SARM 2009 - Form E-32 by 0uvt5vGn

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									         SARM 2012 - Form N.1-RM



                                     ADVANCE POLL LIST
                                   [Clause 160.551(1)(b) of the Act]
                                              FORM N.1
                                     (to be completed in duplicate)

         FOR DIVISION NO. ____ OF THE RURAL MUNICIPALITY OF _________________ NO. _____
         RECORD OF ELECTION HELD THIS ___________ day of _____________________ 20 _____.
         FOR THE ELECTION OF ________________________________________________________.


                                    Voted                Voted for   Sworn or
Entry                                       Voted for
            Name of Voter           for                  Bylaw or    Refused    Objection   Remarks
Number                                      Councillor
                                    Reeve                Question    to Swear

								
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