PROXY VOTE DESIGNATION FORM
OF THE TIPTON COUNTY GIS BOARD
TCGIS Board Member:__________________________________________
This official form must be signed, dated and submitted by the member of the
Tipton County GIS Board before the quarterly meeting in order for the said
voting member to be represented by a proxy.
I hereby designate ______________________________________________
as my proxy to represent me at the designated meeting and to act in my
stead, authorizing this person fully to do all things that I could or might do if
personally present. I also authorize this person to do every act whatsoever
necessary or proper to be done in or upon all matters that may come before
said Tipton County GIS Board. It is further understood that this designation
relates solely to the meeting date stated above.