HomeMy WebLinkAbout20133269.tiffWeld County, District Court
901 9th Avenue
P.O. Box 2038
Greeley, Colorado 80632
(970) 351-7300
Court Use Only
IN THE MATTER OF PLATTE VALLEY FIRE
PROTECTION DISTRICT
Attorneys for District
Richard N. Lyons, II
Blair M. Dickhoner
Lyons Gaddis Kahn Hall
Jeffers Dworak & Grant, PC
P.O. Box 978, 515 Kimbark St,
Longmont, CO 80502-0978
Telephone: (303) 776-9900
Attorney Reg. Number: 09591; 40559
rlvons@Igkhlaw.com;
Case No. 54 CV 12665
Division 1
bdickhoner@Igkhlaw.com
CERTIFICATE OF FILING OATH OF OFFICE FOR TODD PETERSON AND SURETY BOND
Platte Valley Fire Protection District, by its attorneys Lyons Gaddis Kahn Hall Jeffers Dworak
& Grant, PC, and pursuant to C.R.S. §32-1-901, hereby submits the Oath of Office for Board
Director Todd Peterson who is filling the vacancy left by resignation of Jerry Lemons. See
attached, Exhibit A.
The individual is covered by a public official bond. See attached, Exhibit B.
Dated: November 6, 2013
LYONS GADDIS KAHN HALL
JEFFERS DWORAK & GRANT, PC
By /s/ Blair M. Dickhoner
Blair M. Dickhoner
2013-3269
111Wojc3
CERTIFICATE OF SERVICE
This is to certify that on November 6, 2013, a true and correct copy of the foregoing
CERTIFICATE OF FILING OATH OF OFFICE OF TODD PETERSON AND SURETY BOND was filed
with the court through the ICCES electronic filing system and emailed to:
Platte Valley Fire Protection District
Att'n Stephanie Cooke
scooke@olattevalleyfire.org
Weld County Clerk and Recorder
P.O. Box 459
Greeley, CO 80632
/s/ Kyna Glover, Paralegal
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BOARD OF DIRECTOR
OATH OF OFFICE
32-1-901, C.R.S., and
Colorado Constitution Article 12, §9
STATE OF COLORADO
WELD COUNTY
PLA 1 Pb VALLEY FIRE PROTECTION DISTRICT
I, Todd Peterson, will faithfully support the Constitution of the United States and of the State of Colorado, and the
laws made pursuant thereto, and will faithfully perform the duties of the office of Director of Platte Valley Fire Protection
District, upon which:'t am about to enter. •
Subscribed and sworn to before me this 5th day of November, 2013.
By: (Person au orized to administer oaths, i.e.
County Clerk and Recorder, Clerk of
the Court, Chairman of the
Board of Directors, or any other person authorized
to administer oaths)
IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED.
STATE OF COLORADO
) ss.
COUNTY OF
Subscribed and sworn to before me this day of
20
(notary commission expiration) (notary signature)
SEAL
PROCEDURAL INSTRUCTIONS: The oath must be taken within 30 days after the election or appointment to fill a
vacancy. A copy of the executed oath must be filed with the Clerk of the Court, the Clerk and Recorder of every
county in which the district extends and with the Division of Local Government. If this is the oath of an
appointed director, inform the Division which director was replaced.
Division of Local Government— Department of Local Affairs — 2010 Election
Revised 6/15/2009
EXHIBIT
A
1
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