194TOWN CLERK
Christine Fulton
20 MIDDLEBUSFI ROAD
WAPPINGERS FALLS, NY ]2590
WW W.TOWNOFWAPPINGER.US
(845) 297-4158 -Main
(845) 297-5771 -Direct
(845) 298-1478 -Fax
Office of the Town Clerk
TOWN OF WAPPINGER
FOIL CERTIFICATION FORM
STATE OF NEW YORK:
COUNTY OF DUTCHESS:
SUPERVISOR
Barbara A. Gutzler
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarnieclci
Michael Kuzmicz
Pursuant to FOIL Law §89.3 A, I ~-yL1 L- to r t C n~1q~,~ ~~ Tt- ~~-'°' certify I will
not use L~ r I"` lists of names and addresses for solicitation
or fund-raising urposes and will not sell, give or otherwise make available such
lists of names and addresses to any other person for the purpose of allowing that
person to use such lists of names and addresses for solicitation or fund-raising
purposes.
Dated: Wappingers Falls, NY
October ~, 2012
~/ ~._ "
Swo before me this ~i~ day of October, 2012
~°
-;
Christine Fulton
Town Clerk