Appendix C
FORM CC
[Clause 139(1)(b) of the Act]

Declaration of Results

COUNCILLOR: Town of Burstall

for the election held on the 25th day of October, 2023:

Name of Candidates Number of Votes

HAMMAR Derrick __66____

MARDIAN Ken ____20___

BALLOT ACCOUNT

Number of rejected ballots, except those on
which no vote was made:………………………………………………………… ________0______
*Number of ballots counted but objected to:……………………………… ________0_____
Spoiled: (e.g. Issued to a person who declined to vote)………………. _______0______
Total number of voters who voted as indicated on
each Form R ……………………………………………………………………….. _______86_______
I declare that this is an accurate statement of the votes cast for the office
of COUNCIL for the TOWN OF BURSTALL

Dated this 25th day of October, 2023.
Lucein Stuebing____
(Returning Officer)