ED-134 REV -Connecticut's Official State Website



ED-134 REV. 11/2016 (Sec. 51-95)-{G:\ED-100-ED-134}

TO THE SECRETARY OF THE STATE OF CONNECTICUT

The following are the names and addresses of JUSTICE OF THE PEACE in the Town of:

___________________________________________

Qualified to take office for the term January 3, 2017 to January 4, 2021.

σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ

NAME AS ON COMPLETE PARTY AFFILIATION

REGISTRY LIST ADDRESS (IF ANY)

σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ σ

State of Connecticut

ss: OFFICE OF ___________________________Town Clerk

County of _______________ (Town)

I hereby certify that the foregoing is a true copy of record in this office. I also certify that the above names are set forth as on the registry list of electors in said town.

In witness whereof, I have hereunto set my hand and the seal of this said town

this ____ day of___________ 20__

_________________________________________ Town Clerk

(To be filed on or before January 15, 2017 and ED-134a within 10 days after a nomination to fill a vacancy)

-----------------------

SEAL

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download