Referendum Act (S.C. 1992, c. 30)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Deputy of the Governor General

ELIZABETH THE SECOND, by the Grace of God of the United Kingdom, Canada and Her other Realms and Territories, QUEEN, Head of the Commonwealth, Defender of the Faith.

To

of

GREETING:

WHEREAS, pursuant to section 3 of the Referendum Act, His Excellency in Council has issued a Proclamation of Referendum directing that the opinion of electors be obtained with respect to the following question(s):

(set out the question or questions),

WE COMMAND YOU, that notice of the time and place of the referendum having been duly given, that is the . . . . . . . day of . . . . . . . . 19. . ,

YOU DO CAUSE the referendum to be held according to law for the said electoral district in the Province aforesaid respecting the foregoing question(s);

AND YOU DO CAUSE the results of the referendum to be reported to the Chief Electoral Officer as soon thereafter as possible.

Witness: . . . . . . . . . . . , Deputy of Our Right Trusty Well-beloved . . . . . . . . . , Chancellor and Principal Companion of Our Order of Canada, Chancellor and Commander of Our Order of Military Merit upon whom We have conferred Our Canadian Forces’ Decoration, GOVERNOR GENERAL AND COMMANDER-IN-CHIEF OF CANADA.

At Our City of Ottawa, on . . . . . . . . and in the . . . . year of Our Reign.

BY COMMAND,

Chief Electoral Officer