No. 13.

Form mentioned in article 121.

COMMISSION OF A POLL-CLERK.

(To I. J., (insert his occupation and residence).

..ward

Know you that, in my capacity of deputy returning officer for the polling district No......... in the city of Montreal, I have appointed and hereby appoint you to be poll-clerk, for the said polling district No......... ........in said ward.

I, the undersigned, I. J., appointed poll-clerk for the polling district No.........ward, in the city of Montreal, do solemnly swear (or affirm) that I will act in my said. capacity of poll-clerk, and also in that of deputy returning officer, if required to act as such, according to law, faithfully and without partiality, fear, favor, or affection: Sohelp me God.

(Signature)

I. J.,

Poll-clerk,

No. 15.

Form mentioned in article 121.

CERTIFICATE OF THE POLL-CLERK

HAVING TAKEN THE

OATH.

I, the undersigned, hereby certify, that, on the

day of the month of

18 , I. J., poll-clerk for the polling district No......... ward of the city of Montreal, took and subscribed before me the oath of office required of a poll-clerk.

In testimony whereof, I have delivered to him this certificate under my hand.

(Signature)

COMMISSION OF A POLL-CLERK, BY POLL-CLERK ACTING AS DEPUTY RETURNING OFFICER.

Know you that, in my capacity of acting deputy returning officer, for the polling district No.........ward, in the city of Montreal, in consequence of the decease (or incapac ity to act, as the case may be) of the deputy returning officer for the said polling district whose poll-clerk I was, I have appointed and do hereby appoint you to be poll-clerk for the polling district No. in the said ward.

Given under my hand at the month of

this

in the year 18 .

day of

(Signature)

I. J.

Poll-Clerk

acting as

Deputy Returning Officer.

No. 17.

Form mentioned in article 127.

OATH OF AGENT OF A CANDIDATE, OR OF ELECTOR REPRESENTING A CANDIDATE.

I, the undersigned, G. H., agent for (or elector representing, as the case may be), J. K., one of the candidates at the election now pending for an alderman for

ward in the city of Montreal (or for mayor of the city of Montreal), solemnly swear, (or affirm) that I will keep secret the names of the candidates for whom any of the voters, at the poll in the voting subdivision No. of ward, in the city of Montreal, may have marked his ballotpaper in my presence, at this election: So help me God.