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Hinton, Joseph
Constitutional Oath SUFFOLK-COUNTY SS: TOWN OF SOUTHOLD . . Joseph Hinton . . . . . . . . . do solemnly swear that I will support the Constitution of the United States and the Constitution of the State of New York, and that I will faithfully discharge the duties of the office of. temporary .Bay.Constable.for the.Police. nepartment.of the Town of SQuthQld. . . . . . . . . . . . according to the best of my ability. Sworn before me this . 5.th . day of. . Februar id. 2018 Southold .Town .CterJk . . . . . o%SFFot,��o ELIZABETH A.NEVILLE,MMC �y� Gy� Town Hall,53095 Main Road TOWN CLERK a P.O.Box 1179 C* �? Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p O Fax(631)765-6145 MARRIAGE OFFICER �',� aQ`' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �l �► www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 5, 2018 Honorable Judith A. Pascale Suffolk County Clerk 310 Center Drive Riverhead, New York 11901 Dear Ms. Pascale, Transmitted herewith, please find the following oaths of office,suitable for filing in your office. Thank you. Kristopher Dimon, Full-Time Bay Constable for the Police Department of the Town of Southold. Joseph Hinton,Temporary Bay Constable for the Police Department of the Town of Southold. Very truly yours, Elizabe A. Neville Southold Town Clerk EAN Enclosures(2)) RESOLUTION 2018-119 ADOPTED DOC ID: 13810 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2018-119 WAS ADOPTED AT THE SPECIAL MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 2,2018: RESOLVED that the Town Board of the Town of Southold hereby appoints Joseph Hinton to the position of temporary Bay Constable for the Police Department, effective February 5, 2018 through April 30, 2018 at a rate of$22.13 per hour, contingent upon successful completion of Civil Service and Background investigations, and graduation from the Peace Officer Academy. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: James Dinizio Jr, Councilman SECONDER:Jill Doherty, Councilwoman AYES: James Dinizio Jr, William P. Ruland, Jill Doherty, Scott A. Russell ABSENT: Robert Ghosio, Louisa P. Evans New York State Division of Criminal Justice Services PEACE OFFICER REGISTRY ENTRY FORM -CERTIFICATION OF INITIAL EMPLOYMENT (Executive Law§845) SECTION 1—REGISTRANT INFORMATION(fo be completed by the registrant) Last Name First Name MI I Date of Birth Gender Social Security Number' Hinton Joseph D 10/26/84 X M F 1118-68-6465 Home Residence Mailing Address City,State,Zip County of Home Residence 515 Horseshoe Drive Cutchogue, NY 11935 Suffolk Home Residence Street Address(if Different) City,State,Zip City,State,Country of birth(if other than U.S.) I am the person named above. I understand that the information in Section 1 is part of a wnffen 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 21512018. *Pursu pft 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 foreshall not be revealed,released,transferred.disseminated seminated 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. SECTION II—AGENCY INFORMATION o 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 CPL§2.10 Subdivision CPL Title/Position of Registrant Weapons Indicator(Check/Circle All That Apply) Bay Constable-Seasonal NONE FIREARMS ASR BATON CED Type of Appointment Background Check Conducted Residency Verified Fingerprints submitted to DCJS Full-time Part-time Yes No Yes NoYes No X I X X X I am the chief law enforcement officer responsibl,for appointing the person named in Section I as a peace officer of the above named law enforcement agency. I understand that the information in§ecdon Il is p rt of a n statement that will be presented to the Division of Criminal Justice Services for firing,and 1 cerSfy that it is true to the best of my knowledge and ef. I unde nd I a sponsib/e for providing the registrant with the requisite training pursuant to CPL§2.30.' Signature Datt;e� //� SECTION III—CIVIL SER ICE I O ON o be completed by the civil service officer for municipal and state registrants) Last Name First Name MI Title of Person Signing Section 111 Schneider _ Alan Personnel Director Name of Civil Service or Personnel Agency Telephone Suffolk County Department of Civil Service 631-853-5500 Address City,State,ZIP PO Box 6100 Hauppauge, NY 11788 Title and Civil Service Classification of the Registrant Bay Constable 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 IL 1 understand that the information in Section III is part of a written statement that will be presented to the Division of Criminal Justice Services for riling,and I certify that it is true to the best of my knowledge and belief. Signature Date SECTION IV—OATH OF OFFICE(Public Officers Only-To be completed by the registrar responsible for recording oaths of office) Last Name First Name MI Title of Person Signing Section IV Neville Elizabeth A Town Clerk Name of Recording Office Telephone Southold Town Clerk's Office 631-765-1800 Address TEW State,ZIP 53095 Main Road I Southold, NY 11971 1 am the officerresponsible for recording the oaths of office of individuals appointed as peace officers of the law enforcement agency named in Section IL The person named in Section I has filed an oath of office as a peace officer,pursuant to an appointment received from the person named in Section IL 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 1 cerfify that it is true to the best of my knowledge and belief. Signatur Date Oath Administered ! 21512018 COPYRIGHT©2007 NEW YORK STATE DIVISION OF CRIMINAL JUSTICE SERVICES(JUNE 2017) New York State Division of Criminal Justice Services PEACE OFFICER REGISTRY ENTRY FORM -CERTIFICATION OF INITIAL EMPLOYMENT (Executive Law§845) THIS FORM IS USED TO INITIALLY REGISTER A PEACE OFFICER WITH THE DIVISION OF CRIMINAL JUSTICE SERVICES. USE THIS FORM FOR ALL INITIAL APPOINTMENTS AND TRANSFERS. FORMS PRESENTED FOR FILING MUST CONTAIN ORIGINAL SIGNATURES. ALTHOUGH THE BLANK FORM MAY BE DUPLICATED, PHOTOCOPIES OF COMPLETED FORMS, OR FORMS WITH PHOTOCOPIED SIGNATURES WILL NOT BE ACCEPTED. Pursuant to Executive Law§845, peace officer employers are required to register peace officers with the Division of Criminal Justice Services (DCJS). DCJS uses the peace officer registry to determine an individual's eligibility to receive a peace officer training certificate, and for other lawful purposes. DCJS reserves the right to require further documentation as necessary to properly classify a registrant. The information provided may be added to the registry and made available pursuant to law. SECTION I: REGISTRANT INFORMATION This section must be completed by the peace officer registrant. Only individuals appointed to positions defined in Criminal Procedure Law§2.10 or§2.16 are eligible for registration. Type or print legibly, the registrant's last name, first name, middle initial, date of birth, and Social Security Number. Enter the complete home mailing address, home street address if different, and county of home residence. Temporary addresses are not acceptable. If the registrant is temporarily living away from home (e.g. enrolled at a college or university, on military assignment, etc.) DO NOT list the temporary address. Enter the registrant's city/state/country of birth (if other than U.S.). Registrants not born in the United States MUST include a certified copy of one of the following: (1) naturalization papers; (2) Department of State Birth certificate; or(3) currently valid United States Passport. Carefully read the certification. Sign and date in the area provided. With the exception of Social Security Number, the information in Section I is required. Incomplete submissions will not be processed. SECTION II: AGENCY INFORMATION Unless a written agreement is on file with DCJS, this section must be completed by the Chief Law Enforcement- Officer(Chief, Sheriff, Director) of the appointing authority. In the case of municipalities with no designated Chief Law Enforcement Officer, the Town Supervisor or Village Mayor must be the signatory. The Executive Law mandates that all peace officers must be registered with the Division of Criminal Justice Services. The information in Section II identifies the law enforcement agency with which the registrant is a peace officer. Please refer to the Public Officers Law§3-b for eligibility and residency requirements. Type or print legibly, the chief law enforcement officer's last name, first name and title. Enter the agency name, telephone number(including area code), and agency address. Enter the CPL 2.10 subdivision number, CPL subdivision title and weapons indicator for appointment of the person named in Section I. Indicate whether the appointment is full-time or part-time, whether background and residency checks were conducted, and if fingerprints were submitted to DCJS. Carefully read the certification. Sign and date in the area provided. The information in Section II is required. Incomplete submissions will not be processed. When signing this section, the CEO is verifying their responsibility to provide the registrant with the requisite training pursuant to CPL§2.30. SECTION III: CIVIL SERVICE INFORMATION (FOR MUNICIPAL AND STATE EMPLOYERS ONLY) This section must be completed for all registrants employed by a municipality or state agency, both full and art time, by the appropriate civil service commission officer. Civil Service Law mandates that the appointment of officers must meet certain requirements. The information in Section III describes the registrant's appointment. If the registrant is employed by a private entity (i.e., the SPCA, or a Private College) it is not necessary to complete this section. COPYRIGHT©2007 NEW YORK STATE DIVISION OF CRIMINAL JUSTICE SERVICES(JUNE 2017) New York State Division of Criminal Justice Services PEACE OFFICER REGISTRY ENTRY FORM -CERTIFICATION OF INITIAL EMPLOYMENT (Executive Law§845) Type or print legibly, the civil service commission officer's last name, first name, middle initial and title. Enter the name, telephone number(including area code) and address of the civil service commission office. Enter the job title and civil service classification of the person named in Section I. This should be the specific title/classification to which the registrant was appointed and that appears on the agency payroll. Carefully read the certification. Sign and date in the area provided. The information in Section III is required. Incomplete submissions will not be processed. SECTION IV: OATH OF OFFICE This section must be completed by the appropriate registrar/recorder of oaths of office. Pursuant to Public Officers' Law§10 every peace officer that is a public officer must take and file an oath of office. The following persons are eligible to administer an oath of office: • A judge of the court of appeals • The Attorney General • Any officer authorized to take the acknowledgment of the execution of a deed of real property • An officer in whose office the oath is required to be filed or their duly designated assistant such as a City, Town, or Village Clerk (Municipal appointees) or the Fire Chief(Fire Police) or their designee. • A presiding officer or clerk of a body of officers who has taken an oath of office (SPCA/SPCC/Private Entities) • An oath of office may be administered to any state or local officer who is a member of the armed forces of the United States by any commissioned officer, in active service, of the armed forces of the United States The Information in Section IV indicates the date the oath was taken by the registrant, the place of filing, and title of the office. Type or print legibly, the registrar/recording officer's last name, first name, middle initial and title. Enter the name, telephone number(including area code) and address of the registrar's/recorder's office. Carefully read the certification. Sign and date in the area provided. This section should be signed and dated once the officer named in Section I completes the oath of office for the agency named in Section I I and is the date recorded by DCJS as the appointment date of the officer. The information in Section IV is required. Incomplete submissions will not be processed. MAILING INSTRUCTIONS Mail completed forms to: NYS Division of Criminal Justice Services Alfred E. Smith State Office Building Office of Public Safety—Records Unit 80 South Swan St., 3rd Floor Albany, NY 12210-8002 QUESTIONS If you have any questions regarding this form, call (518)485-1092 for assistance. COPYRIGHT©2007 NEW YORK STATE DIVISION OF CRIMINAL JUSTICE SERVICES(JUNE 2017)