Chartering a Public Library in New York State

SAMPLE
CONCURRENCE OF ABSENT TRUSTEE

[This document in MS Word format pdf file [137K] ]

________________________
Library Name

____________
Date

The Honorable
The Board of Regents of the University of the State of New York
The State Education Department
Albany, New York 12234

This is to certify that I concur with the action adopted by the board of trustees of (Name of Library) at their meeting on ____________, 20___ requesting the Board of Regents to _________________________________________________________
____________________________________________________________________.

________________________
Trustee (Signature)

________________________
Trustee (Printed Name)

STATE OF NEW YORK )

ss:

COUNTY OF )

On this         day of          20     before me personally came ________________________ (name of trustee) to me known to be the person described in and who executed the foregoing application, and (s)he duly acknowledged to me that (s)he executed the same.

(Typed name, stamp and signature of notary public)

Last Updated: August 28, 2009