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STATE OF NEW YORK) -
ss: Southold Fire District
COUNTY OF SUFFOLK `
I, the undersigned CLERK,of the Town of Southold, Suffolk County, New York DO HEREBY
CERTIFY:
That I have compared the annexed copy of the CERTIFICATE OF RESULT OF FIRE
DISTRICT ELECTION, with the original thereof which was filed in my office on theJ4�4ay of
December, 2016, and that the same is true, complete and correct copy of the whole of said original.
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IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said TOWN this
day of December, 2016.
5„ Elizabeth Neville,Town Clerk
(C_arporate Seal) --
RECEIVE®
Southold Fire District in the
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Town of Southold, Suffolk County, New York DEC 14 2016
The undersigned, ALICE KRAMER, Chairperson of the Election, SUSAN S' �ElOSKI
and LORRAINE CONWAY, Ballot Clerks, DO HEREBY CERTIFY AS FOLLO` °� Tosw 'IPrl�
1. That each of us is a resident elector of the Southold 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 said Fire District on the 25th day of October, 2016 we were appointed to
the offices set forth hereinabove in connection with the election of said Fire District held on
the 13th day of December, 2016, between the hours of 6:00 PM and 9:00 PM, prevailing
time, for the purpose of voting upon the election of one (1) Fire District Commissioner for
a five year term of office which will commence on January 1, 2017 and expire on December
31, 2021 and one (1) Fire District Commissioner to fill a vacant two year unexpired term
commencing January 1, 2017 and expire December 31, 2018.
2. After the polls had closed for said election,we immediately canvassed the ballots cast.
Inspection of such ballots disclosed the following results:
For the election of Fire District Commissioner for the period of five (5) years for the term of
office which will commence on January 1, 2017 and expire on December 31, 2021:
Total number of ballots cast S' �--
Number of votes for
Thomas Grattan, Sr. S�-
Number of void ballots
For the election of Fire District Commissioner to fill a vacant two year unexpired term
commencing on January 1, 2017 and expire on December 31, 2018:
Total number of ballots cast
Number of votes for
William M. Witzke 5�)
Number of void ballots 0
3. Upon completion of such canvass, the Chairman of the Election publicly announced the
results thereof.
4. A true, correct and complete copy of the official ballots used at said election is attached
hereto and made a part thereof.
5. On the 8h day of December, 2016 at 10:00 AM, the Fire District Secretary held a meeting to
prepare the voter registration rolls. This register was prepared containing the names of all
persons residing in said Fire District and qualified to vote in said election whose names were
on the registration list certified and supplied to said Fire District by the Suffolk County
Board of Elections as of a date twenty-three (23) days before date of said election. All of the
votes described above were of voters whose names appear on the register prepared at that
time.
Dated: December 13, 2016
At: Southold, New York
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Carol A. Miller, Fire District Secretary
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Alice Kramer, Ch4erson of the Election
Susan Sepenoski, Ballot Clerk
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Lor aine Conway, Ballot Clerk
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OFFICIAL BALLOT
SOUTHOLD FIRE DISTRICT
DECEMBER 13, 2016
Instructions
6. Mark with a pencil or pen.
7. To vote for a candidate whose name is printed on this ballot,
place a cross (x) or a check mark (1) in the square to the left of
his/her name.
8. To vote for a person whose name is not printed on this ballot,
write his/her name in the blank space provided.
9. Any mark other than a cross (x) or a check mark (�) used for
the purpose of voting or any erasure made on this ballot will
void the ballot.
10.If you tear, or deface, or wrongly mark this ballot, return it and
obtain another.
Vote for only one Fire District Commissioner — 5 years
commencing 1/1/2017 and expiring 12/31/18
William M. Witzke
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OFFICIAL BALLOT
SOUTHOLD FIRE DISTRICT
DECEMBER 13, 2016
Instructions
1. Mark with a pencil or pen.
2. To vote for a candidate whose name is printed on this ballot,
place a cross (x) or a check mark (�) in the square to the left of
his/her name.
3. To vote for a person whose name is not printed on this ballot,
write his/her name in the blank space provided.
4. Any mark other than a cross (x) or a check mark (�) used for
the purpose of voting or any erasure made on this ballot will
void the ballot.
5. If you tear, or deface, or wrongly mark this ballot, return it and
obtain another.
Vote for only one Fire District Commissioner — 5 years
commencing 1/1/2017 and expiring 12/31/21
Thomas Grattan, Sr.