Miss. Code. tit. 2, pt. 902, ch. 4, exh. 2-902-4-10
DISTRICT: _______________________________________________________ County SWCD
NAME OF NOMINEE: _____________________________ Resident of Beat
# _______________
ADDRESS: ____________________________________________________________________
CITY, STATE, ZIP: ______________________________________________________________
HOME PHONE: _____________________ BUSINESS PHONE: _________________________
Upon acceptance to serve as a soil and water conservation district deputy commissioner, I agree to devote the time required to actively participate in district affairs, including regular attendance at board meetings. I also agree to carry out the authorities of a deputy commissioner as set forth by the Mississippi Soil and Water Conservation Commission to the best of my ability. I understand that deputy commissioners are not entitled to vote.
Therefore, I, the undersigned, do hereby certify that I am a landowner or operator in
_________________ County and do hereby agree to serve as a deputy commissioner. I further certify that I have not been convicted (unless pardoned) of bribery, perjury or other infamous crime.
DATE: ____________________ NOMINEE SIGNATURE: ______________________________
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A majority of the board of commissioners of the ______________________ County Soil and Water Conservation District do approve the individual listed above to serve as a deputy commissioner in beat _______________________ . This action has been recorded in the minutes of our board.
DATE: ________________ SIGNATURE: _______________________________________
NOTE: Send a copy of this form to the Mississippi Soil & Water Conservation Commission.
Miss. Code. tit. 2, pt. 902, ch. 4, exh. 2-902-4-10