HomeMy WebLinkAbout20141814.tiff Weld County District Court
9019th Avenue
P.O. Box 2038 RECEIVED
Greeley, CO 80631
Phone: (970)351-7300 JUN 1 1 2014
IN THE MATTER OF THE WELD COUNTY
JOHNSTOWN FIRE PROTECTION DISTRICT COMMISSIONERS
Court Use Only
Adele L. Reester
Blair M. Dickhoner Case No.: 52 CV 12070
Attorneys for District
Lyons Gaddis Kahn Hall Jeffers Dworak &
Grant PC
P.O. Box 978, 515 Kimbark St. Division: 1
Longmont, CO 80502-0978
Telephone: (303) 776-9900
areester@Iekhlaw.com; bdickhoner@Igkhlaw.com
Attorney Reg. Number: 28549; 40559
CERTIFICATE OF FILING OATHS OF OFFICE AND SURETY BOND
Johnstown Fire Protection District, by its attorneys, the law firm of 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, who were elected to four (4) year terms in the May 6, 2014
Special District Regular Election, and submits the surety bond as follows:
The Oath of Office for Stephen J. Werness is attached as Exhibit A.
The Oath of Office for Larry Weber is attached as Exhibit B.
The members of the Board of Directors are covered by the Public Entities Surety bond
attached as Exhibit C.
CM Q� 1 2014-1814
Dated: June 6, 2014
LYONS GADDIS KAHN HALL
JEFFERS DWORAK & G T, PC
By s/Blair M. Dickhoner
Blair M. Dickhoner
CERTIFICATE OF SERVICE
This is to certify that on June 6, 2014, a true and correct copy of the foregoing Certificate of
Filing Oaths of Office and Surety Bond was filed with the Court through ICCES and emailed
to:
Johnstown Fire Protection District
Att'n Missy Sobeski
msobeski@iohnstownfire.org
and copies of the Oaths were mailed to:
Weld County Clerk and Recorder
P.O. Box 459
Greeley, CO 80632
s/Kvnb Glover, Paralegal
2
BOARD OF DIRECTOR
OATH OF OFFICE
32.1-901,C.R.S.,and
Colorado Constitution Article 12,§9
STATE OF COLORADO
WELD AND LARIMER COUNTIES
JOHNSTOWN FIRE PROTECTION DISTRICT
- l9 /7CN d ' tt14'I`SS ,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 Johnstown Fire Protection District, upon which I am about to enter.
(name of special district) %
3
(signature of oath taker)
Subscribed and sworn to before me this C)) day of 11-)C3.1 , 20 it-I
By:
(Person authorized 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
i ,v.JA )ss.
COUNTY OF �.l )
Subscribed and sworn to before me this 3O ' day of fhp..9 , 20 I LI
�. 3117.01 -3- Qtaa2 (3
(nota ommission expiration) (notary signatur
MELISSA SOBESKI
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID*20054034234
MY COMMISSIONEXPIRESAUGUBT 31,2017
SEAL
PROCEDURAL INSTRUCTIONS: The oath must be taken within 30 days after the election date or appointment to fill a
vacancy: Oaths taken prior to the election date are invalid.A copy of the executed oath and an individual,schedule, or
blanket surety bond must be filed with the Clerk of the Court,the Clerk and Recorder. 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. EXHIBIT
Division of LocalGovernment—Department of Local Affairs
Revised 2/25/14 11
BOARD OF DIRECTOR
OATH OF OFFICE
32-1-901, C.R.S.,and
Colorado Constitution Article 12,§9
STATE OF COLORADO
WELD AND LARIMER COUNTIES
JOHNSTOWN FIRE PROTECTION DISTRICT
I, ,will faithfully support the Constitution of the United States and
of the State of Coloradb, and the laws made pursuant thereto, and will faithfully perform the duties of the office of Director
of Johnstown Fire Protection District, upon which I am about to enter.
(name of special district)
lsignature of oath taker)
Subscribed and sworn to before me this (�day of Rai l� , 20 N .
By:
(Person authorized 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
COUNTY OF WeS v j ss.
Subscribed and sworn to before me this 3Oth day of 1 I l(,1 1 , 20 I
Pt,), 31 ,RR' r �P rS� U
(nota commission expiration) " o ary signature)/
MELISSA SOBESKI
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 140061061441
MY Cp11MIeBION E%PIREB AUGUST 91,4017
SEAL
PROCEDURAL INSTRUCTIONS: The oath must be taken within 30 days after the election date or appointment to fill a
vacancy: Oaths taken prior to the election date are invalid.A copy of the executed oath and an individual,schedule,or
blanket surety bond must be filed with the Clerk of the Court,the Clerk and Recorder.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.
EXHIBIT
Division of Local Government-Department of Local Affairs
Revised 2/25/14 (J
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