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day of the month of

-on the A. D., 19.., from eleven of the clock in the forenoon to two of the clock in the afternoon, for the purpose of nominating a person (or persons, as the case may be), to represent them in the House of Assembly of the Province of Nova Scotia, and that in case a poll is demanded and allowed in the manner by law prescribed, such poll will be opened on the day of the month of

in the

year from the hour of eight of the clock in the forenoon till five of the clock in the afternoon in each of the polling districts, that is to say:

......

For polling district No. 1, consisting of (or bounded as follows) (or otherwise describing it clearly) at... (and so continuing for all the other polling districts and stations in the county.)

at

And further, that on the ...

.day of

I shall open the ballot boxes, sum up the votes given for the several candidates, and return as elected the one (or as the case may be) having the majority of votes.

Of which all persons are hereby required to take notice and govern themselves accordingly.

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We, the undersigned, voters of the county of hereby nominate (name, residence and

additions or description of person nominated) as a candidate at the election now about to be held of a member to represent the said county in the House of Assembly for the Province of Nova Scotia.

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Signed by the said voters, in the presence of........

....of

(additions).

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I, A. B., of. . . . (addition) solemnly swear (or, if he is one of the persons permitted by law to affirm in civil cases, solemnly affirm,) that I know (mentioning the name of the signers), and that they are duly registered as voters for the county of...

.... and entitled to vote at an election of a member to serve in the House of Assembly for the Province of Nova Scotia, and that they respectively signed the foregoing (or within) nomination paper

in my presence; and further (if the case is so) that I know the said thereby nominated as a candidate, and that he signed his consent to the nomination in my presence.

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Justice of the Peace, in and for the said county of . . . .

or commissioner or notary

public.

(FORM H.)

(SECTION 30.)

RETURN WHEN THERE ARE NO MORE CANDIDATES THAN MEMBERS TO BE Elected.

in pursuance of the

I hereby certify that the member elected for the county of within written writ, is A. B., of in the county of

(and C. D., of. as in nomination paper), no other candidate having been nominated (or all other candidates having withdrawn, as the case may be.)

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Public notice is hereby given to the voters of the county of that a poll has been demanded at the election now pending for the same, and that I have granted such poll; and further, that the persons duly nominated as candidates at the said election, and for whom only votes will be received, are:

1. James Brown, of Port Hood, in the county of Inverness, barrister-at-law.

2. Thomas Jones, of Halifax, in the county of Halifax, grocer.

3. Robert Robertson, of Pictou, in the county of Pictou, yeoman.

4. John Smith, of Windsor, in the county of Hants, farmer.

(As in the nomination papers.)

Of which all persons are hereby required to take notice, and to govern themselves accordingly.

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The black line above the first name shall extend to the upper edge and the black line below the last name shall extend to the lower edge of the ballot paper, and all black lines shall be prolonged to the edge of the paper.

The back to be endorsed.

Election for the County of

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