HomeMy WebLinkAbout20141702.tiff Weld County, District Court, State of
Colorado
P.O. Box 2038
Greeley, CO 80631
(970) 351-7300
IN THE MATTER OF THE
WINDSOR-SEVERANCE FIRE PROTECTION
DISTRICT
Court Use Only
Richard N. Lyons, II
Blair M. Dickhoner Case No. 50 CV 11685
Attorneys for District
Lyons Gaddis Kahn Hall Jeffers Dworak &
Grant, PC
P.O. Box 978, 515 Kimbark St. Division 2
Longmont, CO 80502-0978
rlyons@Igkhlaw.com;
bdickhoner@Igkhlaw.com
Telephone: (303) 776-9900
Attorney Reg. Nos.: 09591, 40559
CERTIFICATE OF FILING OATHS OF OFFICE AND SURETY BOND
Windsor-Severance Fire Protection District, by its attorney Blair M. Dickhoner of the law firm
Lyons Gaddis Kahn Hall Jeffers Dworak & Grant, PC, and pursuant to §32-1-901, C.R.S.
hereby submits the Oaths of Office for Board Directors Karen Kuntz and Mark A. Long who
were elected to four (4) year terms of office in the May 6, 2014 Special District election. See
attached Exhibit A.
A copy of the existing surety bond/crime coverage policy is also submitted. See attached
Exhibit B.
Dated: May 9, 2014 LYONS GADDIS KAHN HALL
JEFFE DWORAK & G , PC
POSTMARKED RECEIVED
MAY 9 '14 1A1 2 '14 By s/Blair M. Dickhoner
Blair M. Dickhoner
WELD COUNTY ELECTIONS 2014-1702
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CERTIFICATE OF SERVICE
This is to certify that on May 10, 2014, a true and correct copy of the foregoing CERTIFICATE
OF FILING OATHS OF OFFICE AND SURETY BOND was filed via the ICCES system and
emailed to:
Windsor-Severance Fire Protection District
Att'n Ann Sellers
asellers@wsfr.org
and copies of the Oaths of Office were filed with:
Weld County Clerk and Recorder
P.O. Box 459
Greeley, CO 80632
s/Kyna Glover, Paralegal
2
OATH OF OFFICE
§ 32-1-901, C.R.S.
STATE OF COLORADO,
WELD COUNTY
WINDSOR SEVERANCE FIRE PROTECTION DISTRICT
I, }MA'QJ 4 (AAA, ( 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 Windsor Severance Fire Protection District upon which I am about to enter.
(signature)
Subscribed and sworn to before me this 6" day of May, 2014.By: A)*Persona ized to administer oaths, i.e. ounty Clerk and
Recorder, Clerk of the Court, any other person authorized to
administer oaths or Chairman of the Board of Directors)
IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED.
STATE OF COLORADO )
ss.
COUNTY OF LARIMER ) �/'b�/
Subscribed and sworn to before me this' day of May, 2014.
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PROCEDURAL INSTRUCTIONS:This document is to be filed with the Clerk of the Court and with the Division of Local
Government within 30 days after the election or appointment.
OATH OF OFFICE
§ 32-1 -901 , C.R.S.
STATE OF COLORADO,
WELD COUNTY
WINDSOR SEVERANCE FIRE PROTECTION DISTRICT
•
I , i-c_L-c1/4 AA • ! ` ot, e.__ 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 Windsor Severance Fire Protection District upon which I am about to enter.
nature)
Subscribed and sworn to before me this ? day of May, 2014.
Person autho ' d to administer oath , i.e. County Clerk and
, lark of the Court, any other person authorized to
administer oaths or Chairman of the Board of Directors)
IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED.
STATE OF COLORADO )
) ss.
COUNTY OF LARIMER )
Subscribed and sworn to before me this day
of May, 2014.
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PROCEDURAL INSTRUCTIONS: This document is to be filed with the Clerk of the Court and with the Division of Local
Government within 30 days after the election or appointment.
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