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

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

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 of 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.

I. J.,
Poll Clerk.

Sworn (or affirmed) and subscribed before me, at

this

day of

Z.-(Section 83.)

Statement of the Poll, after Counting the Ballots.

Polling Division No...........

I hereby certify that the above statement is correct.

I, the undersigned, deputy returning officer for polling in the electoral district of

division No.

in the province of , hereby certify that at the election held this day, for a member to serve in the House of Commons,

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

I, R. S., of

messenger appointed by A. B., returning officer for the electoral district of in the province of swear (or solemnly affirm) that the several boxes, to the number of now delivered 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.)

Sworn (or affirmed) and subscribed before me, at day of

R. S.

in the year 19

C.D.,

Justice of the Peace.

or A. B.,

Returning Officer.

or G.H.,

Deputy Returning Officer.

CC.-(Section 92.)

Return after a poll has been taken.

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., &c. (names, &c., as in the nomination papers).

Dated at

this

day of

19

A. B., Returning Officer.

DD.-(Section 132.)

Information for Personation.

Canada,

Province of

County of

The information of P. Q., of

in the year

taken this

of

day of

for

before the undersigned, a deputy returning officer at a polling station in the an election being held for the electoral district of member of the House of Commons.

of a

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.

EE.-(Section 132.)

Warrant for arrest of person charged with Personation.

Canada,

Province of

County of

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

of

being held for the electoral district of of the House of Commons, T. U. of

for an election

of a member has this day been

charged upon oath with having committed the offence of personation on this day and at the said polling place by (describ ing the offence.)

These are therefore to command you in Her Majesty's name forthwith to apprehend the said T. U. and to bring him before to answer unto the said charge and to be further dealt with according to law.

Given under my hand and seal, under The Dominion Elections Act, 1900, this day of in the year 19

SCHEDULE TWO.

(Section 147.)

FEES OF RETURNING OFFICERS AND OTHERS.

To returning officer, when no poll is taken.

1. For the personal services of the returning officer, forty dollars;

2. For the personal services of the election clerk, four dollars;

3. For one constable, if considered necessary, one dollar; 4. For printing proclamations, actual cost;

5. For posting proclamations, not less than four in each polling division, for each mile necessarily travelled from place to place, twelve and one-half cents;

6. For each mile necessarily travelled by returning officer and election clerk in going to and returning from the place of nomination, twelve and one-half cents;

7. For use, when a public building is not obtainable, of private building for nomination, actual outlay, not exceeding four dollars;

8. For necessary disbursements under section 22, the fees to be paid for copies of documents furnished to the returning officer thereunder to be those provided for similar services under the provincial law, and where no provision is made by the provincial law, ten cents per folio of one hundred words, and for the certificate of the custodian, fifty cents.

To returning officer, when polls are taken.

9. For the personal services of the returning officer, sixty dollars as a minimum allowance, two dollars a poll when there are more than thirty polls in a riding;