SUPREME COURT OF MONTANA COMMISSION ON COURTS OF LIMITED JURISDICTION ********** NOTIFICATION AND CERTIFICATON OF ELECTION OR APPOINTMENT OF A JUSTICE OF THE PEACE, CITY JUDGE, OR MUNICIPAL JUDGE In accordance with Section 13-15-405, MCA, the board certifies that an [ ] election [ ] appointment has taken place and that the person named herein was [ ] elected [ ] appointed as a: [ ] Justice of the Peace [ ] City Judge [ ] Municipal Judge
JUDGE’S NAME: ______________________________________________________ HOME ADDRESS: ______________________________________________________ ______________________________________________________ OFFICE ADDRESS: _____________________________________________________ ______________________________________________________ TELEPHONE – OFFICE: _________________________HOME:_________________ DATE OF ELECTION/APPOINTMENT: DATE TERM OF OFFICE BEGINS: DATE TERM OF OFFICE ENDS: __________________________________ __________________________________ __________________________________
SIGNATURE OF CITY/COUNTY CLERK:__________________________________ --- OR --SIGNATURE OF CITY/COUNTY GOVERNING BODY: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ Judicial Educator, Court Administrator’s Office 301 South Park Avenue, Suite 328, Helena, MT 59620-3002
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Form: Attachment 1A Rev: April 1995