N.J. Admin. Code § 5:31-2 app D

Current through Register Vol. 56, No. 11, June 3, 2024
Appendix D

FIRE DISTRICT SPECIAL MEETING

(N.J.S.A. 40A:14-84)

RESULTS CERTIFICATION

Please include a copy of the Fire District Notice and Affidavit of Special Meeting Posting with this form upon submission.

Municipality:

District #:

County:

Annual Election Held:

(check one) _____ third Saturday in February ______ November General

CAPITAL EXPENDITURES SUBJECT TO VOTER APPROVAL

CAPITAL PROJECTS (add additional project columns as necessary)

(N.J.S.A. 40A:14-84)

Capital #1 Description of Project: Capital #2 Description of Project: Capital #3 Description of Project:
Amount $ $ $
Total Votes # # #
Total "Yes" Votes # # #
Total "No" Votes # # #
% of Yes Votes* % % %
Total Abstaining or Absent** # # #

* Percentage of "Yes" Votes = Total Number of "Yes" Votes / Total Number of Votes Cast

**Only applies to fire districts within November Fire Commissioner Elections

It is hereby certified that this special meeting was conducted in compliance with the provisions of N.J. S.A. 40A:14-84:

Signature:

Date:

Printed Name:

Title:

Telephone:

Fax:

E-mail:

N.J. Admin. Code 5:31-2 app D

Adopted by 53 N.J.R. 53(a), effective 1/4/2020