"NOTICE OF APPOINTMENT
Notice is given that ______ is hereby appointed to the following public office:
Name
Public Office: _______________________________________________________________
Citation to Law or Other Authority Authorizing the Appointment:
___________________________________________________________________________
Specific Statutory Qualification for the Public Office, if Applicable:
___________________________________________________________________________
Address of the Appointee: _____________________________________________________
___________________________________________________________________________
___________________________________________________________________________
County of Residence of the Appointee: ___________________________________________
Date Term of Appointment Begins: ______________________________________________
Date Term of Appointment Ends: _______________________________________________
Name of Person the Appointee Replaces, if applicable:
___________________________________________________________________________
____________________ ____________________________
Date of Appointment Signature
____________________________
Office of Appointing Authority
Distribution:
Governor
Secretary of State
Legislative Library
State Ethics Commission
State Controller"
N.C. Gen. Stat. § 143-47.7