HomeMy WebLinkAbout20141815.tiff Weld County, District Court
9019th Avenue
P.O. Box 2038 RECEIVED
Greeley, Colorado 80632
(970) 351-7300 JUN t 1 2014
IN THE MATTER OF PLATTEVILLE-GILCREST WELD COUNTY
FIRE PROTECTION DISTRICT COMMISSIONERS
Court Use Only
Attorneys for District Case No. 51 CV 11868
Richard N. Lyons, II
Blair M. Dickhoner
Lyons Gaddis Kahn Hall Jeffers Division 1
Dworak & Grant, PC
P.O. Box 978, 515 Kimbark St.
Longmont, CO 80502-0978
rlvons@Igkhlaw.com; bdickhoner@Igkhlaw.com
Telephone: (303) 776-9900
Attorney Reg. Number: 09591; 40559
CERTIFICATE OF FILING OATHS OF OFFICE AND SURETY BOND
Platteville-Gilcrest Fire Protection District, by its attorneys, 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 Wayne Kawata is attached as Exhibit A.
The Oath of Office for Brian Hanson is attached as Exhibit B.
The Oath of Office for Gary Homyak is attached as Exhibit C.
The Dishonesty/Surety bond for the District Board members is attached as Exhibit D.
2014-1815
COIT urtic.utions
G -irp-ig 51)o1 tz
Dated: June 6, 2014
LYONS GADDIS KAHN HALL
JEFFERS DWORAK & GRANT, PC
t
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 was filed with
the Court through ICCES and emailed to:
Platteville-Gilcrest Fire Protection District
Att'n Erin Christensen
echristensen@ogfpd.org
and copies of the Oaths were mailed to:
Weld County Clerk and Recorder
P.O. Box 459
Greeley, CO 80632
s/kwja Glover
2
•
BOARD OF DIRECTOR
OATH OF OFFICE
32-1-901, C.R.S.,and
Colorado Constitution Article 12,§9
STATE OF COLORADO
WELD COUNTY
PLATTEVILLE GILCREST FIRE PROTECTION DISTRICT
I, t 919---in C JI,91-JT 7r1 ,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 Platteville Gilcrest Fire Protection District, upon which I am about to enter.
t0 (ref L- /1624.4.���G
(signature of oath taker)
Subscribed and sworn to before me this 22nd day of May, 2014.
By:
Alan Frank, Vice President
IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED.
STATE OF COLORADO
Lf , ', "^ � ) ss.
COUNTY OF WACA )
Subscribed and sworn to before me this 22- day of !nctc , 20 I
S -(5 -aor7 £ o(JK . �c,li t� d�
(notary commission expira ) JOLENE F. SCHNEIDER C(notary signature)
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 19934007025 N.
SEAL MY COMMISSION EXPIRES MAY 15,2017 k
x x "aiarcalwanaltallerPa3AWh.
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 ; F
Revised 2/25/14
BOARD OF DIRECTOR
OATH OF OFFICE
32-1-901,C.R.S.,and
Colorado Constitution Article 12,§9
STATE OF COLORADO
WELD COUNTY
/ PLATTEVILLE GILCREST FIRE PROTECTION DISTRICT
I, 5I t O-1 lla- i%I 71 ,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 Platteville Gilcrest Fire Protection District, upon which I am about to enter.
AZZO_ _ry
(signature of oath taker)
Subscribed and sworn to before me this 22nd day of May, 2014.
By:
Alan Frank, Vice President
IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED.
STATE OF COLORADO
ss.
COUNTY OF W.LU9\ )
Subscribed and sworn to before me this 22. day of f Yliat A , 20 f L
(notary commission piratl8r{4ENE h. SCOLHNEIDER tt; (notary signature)
STATE OF COLORADO E4
MY CONOTARY
ISSSfON EXPIRES AY 15,2017 N'
SEA
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 pond 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
•
BOARD OF DIRECTOR
OATH OF OFFICE
32-1-901, C.R.S.,and
Colorado Constitution Article 12,§9
STATE OF COLORADO
WELD COUNTY
f
PLLAATTEVILLEGILCREST FIRE PROTECTION DISTRICT
I, t/�7 ,4/1r (44,e 't - / , 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 Platteville Gllcrest Fire Protection District, upon which I am about to enter.
signature o oath to er
Subscribed and sworn to before me this 22nd day of May, 2014.
By:
Alan Frank, Vice President
IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED.
STATE OF COLORADO
tt '' ` )ss.
COUNTY OF l/A.u.(GI )
Subscribed and sworn to before me this 2 . day of fl/,c , 20 Iq
(10tA.t, AaAPi CU\
(notary commission ex ratiodpLENE F. SCHNEIDER t / (notary signature)
NOT OFVLORA
STATE OF COLORADO
NOTARY ID 19934007025
SEAL MY COMMISSION EXPIRES MAY 15,2017
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
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