FORM Acceptance (Political Committee) 0
GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE SUPERVISOR OF ELECTIONS o ACCEPTANCE District of , 2014 Political Committee of SIR: I hereby accept the appointment tendered me by Chairman Name to the position of , dated , 2014. Respectfully, Appointee Oath of Office Having been appointed . I, , do solemnly swear or affirm that I will support the laws of the United States applicable to the Virgin Islands and the laws of the Virgin Islands; that I take this obligation freely, without any mental reservation or purpose of evasion, and that I will well and faithfully discharge the duties of the office on which I am about to enter, SO HELP ME GOD. Signature District of ) Virgin Islands of the U.S.A. ) SS: Sworn to and subscribed before me this day of , 2014 Effective , 2014 Notary Public SIGN
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GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE SUPERVISOR OF ELECTIONS o ACCEPTANCE District of , 2014 Political Committee of SIR: I hereby accept the appointment tendered me by Chairman Name to the position of , dated , 2014. Respectfully, Appointee Oath of Office Having been appointed . I, , do solemnly swear or affirm that I will support the laws of the United States applicable to the Virgin Islands and the laws of the Virgin Islands; that I take this obligation freely, without any mental reservation or purpose of evasion, and that I will well and faithfully discharge the duties of the office on which I am about to enter, SO HELP ME GOD. Signature District of ) Virgin Islands of the U.S.A. ) SS: Sworn to and subscribed before me this day of , 2014 Effective , 2014 Notary Public SIGN