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Application for Appointment by the Town Manage

Town Manager · 1 pages · 120 words · all documents · the town's PDF →

This is machine-extracted text, not the document. It was extracted from the town's PDF; layout, tables and figures may not survive intact. The town's copy is authoritative; open it before relying on anything here.
Town Of Durham
   630 Hallowell Road                              Tel: 207-353-2561
  Durham, Maine 04222                              Fax: 207-353-5367

Incorporated 1789

Application For Appointment by Town Manager

Name: _________________________________________________            Date: __________________________

Mailing Address: __________________________________________________________________________

Telephone: (Cell) ________________________________ (Home) __________________________________

Email Address:____________________________________________________________________________

My Current Employment: ___________________________________________________________________

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To: (Name of Appointee) ____________________________________________________________________ Pursuant to: (Reference to statute or ordinance authorizing the appointment)____________________________ I do hereby vote to appoint and confirm you as (name of town and name of position)_____________________ _________________. Your term of office is to expire on (date of term expiration) ______________________. Given under my hand on this ______ day of __________________, 20_____.

________________________________________ Town/City Manger

________________________________________ Select Board (Chairman)

________________________________________ Select Board (Vice-Chair)

_______________________________________ Select Board Member

_______________________________________ Select Board Member

_______________________________________ Select Board Member

Source: application_for_appointment_by_town_manager_1.pdf on durhammaine.gov. Text extracted with pdftotext; no wording has been corrected.