N.J. Admin. Code § 5:31-2 app E

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

20___ FIRE DISTRICT VOTER REFERENDUM TO AUTHORIZE DEBT (N.J.S.A. 40A:14-85 and 86)

RESULTS CERTIFICATION

CAPITAL PROJECTS (add additional project columns as necessary

(N.J.S.A. 40A:14-85AND 86)

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* % % %

I hereby certify that this voter referendum was held in compliance with the requirements of N.J.S.A. 40A:14-85 and 86, and Title 19 if the referendum was held during the November general election:

Signature:

Date:

Printed Name:

Title:

Telephone:

Fax:

E-mail:

Please return this form to the Division within seven (7) calendar days of the election, along with a copy of the election ballot upon which the question was placed.

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

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