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STATE OF NEW YORK:
COUNTY OF SUFFOLK: ss
ELIZABETH NEVILLE, Clerk of the Town of Southold, Suffolk County, New York do
hereby certify:
That I have compared the annexed copy of the MATTITUCK FIRE DISTRICT,
CERTIFICATE OF ANNUAL FIRE DISTRICT ELECTION dated December 11, 2012 with
the original thereof which was filed in my office on the 12th day of December, 2012, and that the
same is a tree, complete, and correct copy of the whole of said original.
1N WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Town this
1~ day of December, 2012.
Elizab0h Neville~ Town Clerk
MATTITUCK FIRE DISTRICT
CERTIFICATE OF RESULT OF
ANNUAL FIRE DISTRICT ELECTION
The undersigned _Christine Elliott [Chairperson of the Election] Gerry Goehringer, Jill
Doberty, and Robert Neudeek
Inspectors and Ballot Clerks, DO HEREBY CERTIFY AS FOLLOWS:
That each of us is a resident elector of the Mattituck Fire District in the Town of
Southold, Suffolk County, New York, and that pursuant to a resolution adopted by the
Board of Fire Commissioners of the Fire District on the 23r~ day of October, 2012,
we were appointed to the offices set forth above in eounection with the annual
election of the Fire District held on the 11tn day of December, 2012 between the hours
of 3:00 PM and 9:00 PM, prevailing time, for the purpose of electing one
commissioner to the Board of Fire Commissioners:
2. Prior to the opening of the polls, each ballot to be used at the annual election had
been examined.
3. After the polls had closed for said election, we immediately canvassed the ballots
cast. Inspection of such ballots disclosed the following results:
Total Number of Ballots Cast
Number of Void Ballots
0
Election of Fire District Commissioner
Complete table with name of candidates receiving votes and number of votes received
Candidate's Name [print] Number of Votes Received
Lloyd H. Reisenberg
o
Upon the completion of such canvas, the Chairperson of the election publicly
announced the result thereof.
A tree, correct, and complete copy of the official ballot used at said election is
attached hereto and made a part hereof.
o
2012.
On the 19th day of November 2012, a meeting of the Inspectors of Election was
held at the time and place specified in the resolution of the Board of Fire Commissioners
adopted October 23rd, 2012. At said meeting, a register of all persons entitled to vote in
the election was prepared containing the names of all persons residing in the Fire District
and qualified to vote in said election whose names were on the registration list certified
and supplied to the Fire District by the Suffolk County Board of Elections as of a date
twenty-three days before the date of said election. All of the votes described above were
of voters whose names appear on the register prepared at such meeting.
IN WITNESS WHEREOF, we have hereunto set our hands this 1 lth day of December,
Chairperson
Christine Elliott
Inspector and Ballot Clerk
Gerry Goehringer '~ ~
Inspector and Ballot Clerk
~Doheay
Inspector and Ballot Clerk
Robert Neudeck
VOTE FOR ONE COMMISSIONER
SOUTHOLD TOWN
MATTITUCK FIRE DISTRICT
OFFICIAL BALLOT
DECEMBER I11 2012
INSTRUCTIONS:
Qualifications for Voting: Only those persons who have registered in the Suffolk
Board of Elections on or before November 19th, 2012 shall be eligible to vote.
You must also reside in the Mattituck Fire District.
Qualified Candidates shall have filed their names together with a petition for their
nomination, signed by twenty-five (25) electors of the district, at least twenty (20)
days prior to this election. Candidates must be resident electors of Mattituck Fire
District at the time of the election and during the term of tenure.
To Vote: Make an "X" or a "check mark" in the square in front of the name of
your choice.
Please vote for only ONE Commissioner for the five (5) year term
If you tear, erase, deface or wrongly mark this ballot, return it and obtain another.
6. Refold and place in Ballot Box.
[]
BALLOT
Mattituck Fire District
FIRE DISTRICT COMMISSIONER
Five (5) Year Term
Lloyd H. Reisenberg
[]
Print Name
Southold Town
Mattituek Fire District
OFFICIAL BALLOT
December 11~ 2012