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HomeMy WebLinkAboutMele, Julia Constitutional Oath SUFFOLK COUNTY ) TOWN OF SOUTHOLD ) SS: I Julia Mele do solemnly swear that I will support the Constitution of the United States of America,the Constitution of the State of New York and the Laws, Rules and Regulations of the Town of Southold, and that I will faithfully discharge the duties of the Office of The Southold Town Police Department as a Police Officer effective October 6, 2022 according to the best of my ability. Signature Sworn to before me this 6th day of October 2022 Signature Deputy Town Clerk Title gUf F@,r ©� RESOLUTION 2021-193 ADOPTED DOC ID: 16877 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-193 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MARCH 9, 2021: ' RESOLVED that the Town Board of the Town of Southold hereby appoints Julia Mele to the position of Seasonal Police Officer for the Southold Town Police Department, effective immediately, at a rate of$22.75 per hour. f0" Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Louisa P. Evans, Justice AYES: Nappa, Dinizio Jr, Doherty, Evans, Russell ABSENT: Robert Ghosio RESOLUTION 2021-194 ADOPTED DOC ID: 16878 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-194 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MARCH 9,2021: RESOLVED that the Town Board of the Town of Southold hereby immediately places Seasonal Police Officer Julia Mele on a leave of absence, pendinIz further action by the Town Board prior to the start of the 2022 summer season. 0��467-Z?� Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Sarah E. Nappa, Councilwoman AYES: Nappa, Dinizio Jr, Doherty, Evans, Russell ABSENT: Robert Ghosio Constitutional Oath SUFFOLK COUNTY ) TOWN OF SOUTHOLD ) SS: I Julia L. Mele do solemnly swear that I will support the Constitution of the United States of America,the Constitution of the State of New York and the Laws, Rules and Regulations of the Town of Southold, and that I will faithfully discharge the duties of the Office of Seasonal Police Officer for the Southold Town Police Department, effective October 25, 2021 according to the best of my ability. ✓Yl�� 1�M Signature Sworn to before me this 21st day of October 2021 Signature CPeav Cnh i,�j/Ve F-o#er, cccx,vz`� Southold Town Clerk Title New York State Division of Criminal Justice Services POLICE OFFICER REGISTRY ENTRY FORM -CERTIFICATION OF INITIAL EMPLOYMENT (Executive Law§845) S E C T 10 N I—REGISTRANT INFORMATION(To be completed by the registrant) Were you previously a Last Name First Name MI I Date of Birth Gender Social Security Number' police officer inNYS? Mele Julia 07/11/1999 ❑M F F 107-88-2136 Home Residence Mailing Address City,State,Zip County of Home Residence 0 Yes No 305 Gardiners Lane Southold, NY 11971 Suffolk Police Officer as defined Home Residence Street Address if City, Zi City, Country by NYS Cnmmat ( tY P y try of birth(if other than U.S.) Procedure Law§1 20 Different) I am the person named above I understand that the information in Section I is part of a written statement that will be presented to the Division of Criminal Justice Services for filing,and I certify that itis true to the best of my knowledge and belief Signa re Date 10 l21 Iz� 'Pursuant to the New York State Personal Privacy Protection Law,DCJS is authorized to collect personal identifying information as part of a public safety agency record Personal identifying information on this form shall not be revealed,released,transferred,disseminated or otherwise communicated orally,in writing,or by electronic means otherthan to the registrant- Disclosure of personal identifying information is voluntary Refusal to provide personal identifying information shall not result in the denial of any right,benefit,or privilege S E C T 10 N I I—AGENCY INFORMATION(To be completed by the chief law enforcement officer) Last Name First Name MI I Title of Person Signing Section II Flatley Martin Chief of Police Name of Law Enforcement Agency Telephone Southold Town Police Department 1631-765-2600 Address City,State,ZIP 41405 State Route 25 PO Box 911 Peconic, NY 11958 Type of Appointment Background Check Conducted Residency Verified Fingerpnnts submitted to DCJS ❑Full-time IZI Part-time IZI Yes ❑ No Yes ❑ No Yes ❑No 1 am the chief law enforcement officer responsible for appointing the person named in Section I as a police officer of the above named law enforcement agency I understand that the information in Section II)s part of a written statement at will be presented to the Division of Criminal Justice Services for filing,and I certify that it is true to the best of my knowledge and belief. 1 understand I am responsible for providm the regisfra 7th the yquisife,training pursuant to§209-q of the General Municipal Law Signature Date SECTION III—C— ICE NFORMATION(To be completed by the civil service officer for all registrants Full or Part-time) Last Name �kom&s irst Name MI Title of Person Signing Section III M P-;--o I punovvid0C4-ce,- Name of Civil Service or Personnel Agency Telephone Suffolk County Department of Civil Service 1631-853-5500 Address City,State,ZIP PO Box 6100 Bldg 158 William J Lindsay County Complex Hauppauge, NY 11788 Title and Civil Service Classification of the Registrant Police Officer/Competitive 1 am the civil service officer responsible for certifying the appointment of individuals appearing on the payroll of the law enforcement agency named in Section 11 1 understand that the information in Section 111 is part of a written statement that will be presented to the Division of Criminal Justice Services for filing,and I certify that it is true to the best of my knowledge and belief Signature Date S E C T 10 N I V—OATH OF OFFICE (To be completed by the registrar responsible for recording oaths of office) Last Nam First Name M Title of Person Signing Section IV M ski ?-a-b In ®cam e. Name of Recording Office Telephone Southold Town Clerk's Office 631-765-1800 Address City,State,ZIP 53095 State Route 25 PO Box 1179 Southold, NY 11971 Oath of Office Date Oath of Office Title of the Registrant Police Officer I am the officer responsible forrecording the oaths of office of individuals appointed as police officers of the law enforcement agency named m Secbon 11 The person named in Section I has filed an oath of office as a police officer,pursuant to an appointment received from the person named w Section 11. 1 understand that the information in Section IV is part of a written statement that will be presented to the Division of Criminal Justice Services for filing,and I certify that it is true to thekest of my knowledge and belief Signature Date D�? — D� COPYRIGHT©2007 NEW YORK STATE DIVISION OF CRIMINAL JUSTICE SERVICES(JAN 2013) DCJS 2214-A