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Certification of OfficesCertification Of Offices To Be Filled at General Election November 5, 2013 Town of I hereby certify the following offices are to be filled at the General Election to be held on November 5, 2013: (Please enter incumbents' names below.) Supervisor (Term: ~ years) p, ~ ~ ~e~. Town Clerk (Term: ~ years)o-~u~ ~ rn~ ~ c.~~c~~.~erm Town Justice ~ p~ u~ .~ ~~~ ewe-Jt,+s#~ee Members of the Town Board (number ~) ~ ~J~J~afe. v~ ~~~~1~~ ~M I-! ~C I'Y1 P I~~ ~ Z m ir' s) 2013 Date t~`~Tow Clerk (Signature) `~ ~~~~ ~ Town of INSTRUCTIONS: 1. Cross out and initial those offices listed above that will not be filled at the November 5, 2013 General Election. 2. Please fill in, add to, retype, or correct the list as may be necessary for your Town. 3. If any office is to be filled for an unexpired term, so state. 4. Return form by March 5, 2013 in the enclosed envelope. BOE/203