HomeMy WebLinkAbout20141699.tiff 06/02/2014 02:11 FAX 3531964 00001/0001
Mau 30 14 03: 13p 9705870337 p. 2
• BOARD OF DIRECTOR
OATH OF OFFICE
RECEIVED 32-1-901, C.R.S., and
STATE OF COLORADO Colorado Constitution Article 12, §9
MAY 3 0 20 'A
WELD COUNTY WELD AND LARIMER COUNTIES
COMMISSIONERS
y} JOHNSTOWN FIRE PROTECTION DISTRICT
1, ..- ! .-) . teire 4t " , 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)
tsar—)
(signature of oath taker)
Subscribed and sworn to before me this �� day of fl OJ4 , 20 14
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
)ss.
1 COUNTY OF VXJQ..\ �
Subscribed and sworn to before me this -30 ,r i day of , 20 1 t---I
C�J
(note ommission expiration) (notary signatur
MELISSA SOBESKI
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID i 20054034234
MYCOLUAISSION EXPIRES AUGUST 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.
Division of Local Government—Department of Local Affairs
Revised 2/25/74 2014-1699
•
e° 5b0110
Li - 9-020/41
06/ 02 / 2014 02 : 09 FAX 3531964 el0001 / 0001
May 30 14 03 : 14p 9705870337 p . 4
BOARD OF DIRECTOR
RECEIVED OATH OF OFFICE
32-1-901 , C.R.S., and
MAY 3 0 b. Colorado Constitution Article 12, §9
STATE OF COLORADO
WELD COUNTY
COMMISSIONERS WELD AND LARIMER COUNTIES
JOHNSTOWN FIRE PROTECTION DISTRICT
I, 57"
a t1-i '! :4 .e:A----- I will faithfully support the Constitution of the United States and
of the State of Colorad6, and the laws made pursuant thereto, and will faithfully perform the duties of the office of Director
I
of Johnstown Fire Protection District, upon which I am about to enter.
(name of special district)
,
, d
isignature of oath taker)
Subscribed and sworn to before me this day of 20 I LI .
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 )
) ss.
COUNTY OF UDR" d )
Subscribed and sworn to before me this 3O�' day of a 1 I( 1 t l 20 I --I
L ��y(�
j � �
(� � i ,Z r� I1fft ��-DL , .
(note commission expiration) (nofaryy signatui
ME NOT SKI
A Y PUBLIC
STATE OF COLORADO
NOTARY ID II 20054034134
MY COMMISSION EXPIRES AUOUBT 31, 101 T
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.
Division of Local Government - Department of Local Affairs SD-1
Revised 2!25714
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cod t a-nA 5b0110
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