Summer Haven Lake
Fremont, Nebraska
Summer Haven Proxy
PROXY
I, _________________________________________,
(member's name)
of cabin number _________________________,
hereby appoint _____________________________________ as my
proxy, to act for and vote my vote at the Annual
meeting of the Summer Haven Lake Association to be
held on ___________________.
__________________________________________
Member's Signature
_______________________
Date
Give to any member who will be attending the meeting.
****PROXY CAN ONLY BE GIVEN TO ANOTHER REGULAR MEMBER OF THE ASSOCIATION, AS DEFINED BY THE BY-LAWS OF THE SUMMER HAVEN LAKE ASSOCIATION. NO ONE MEMBER SHALL HAVE MORE THAN 5 VOTES, INCLUDING PROXIES, AT ANY ONE TIME. ****
PROXY
Summer Haven Lake Association
SAFETY VIOLATION REPORT
It is the responsibility of each SHLA member to assist with boating safety and report safety violations observed at Summer Haven Lake. This form is intended for members use. If you witness a violation of SHLA Rules, please provide details of the violation and send a copy to SHLA Vice President of Lake Control.
Description of Violation
Date of Observed Violation _________________________
Cabin Number _________________
Shareholder Name _________________________________________________
Description of Watercraft or Vehicle
Description of Observed Violation
Reporting Shareholder
SHLA Shareholder Name _______________________________________________
Cabin Number ________________
Signature _________________________________________________ Date __________________
Acknowledgement (for use by SHLA)
Year _________ Safety Violation Notice Number ___________________
Date received by SHLA Vice President, Lake Control ____________________
Date notice of the safety violation was provided to shareholder ________________
Signature _________________________________________________, VP Lake Control
Summer Haven Lake Association
Summer Haven Lake Watercraft Registration
Shareholder Name ________________________________________ Cabin Number ____________
______ Ski Boat ______ Pontoon ______ Mini-Pontoon
Manufacturer Model # Overall Length Overall or Deck Width
_________________________ __________ _____ feet ____inches _____ feet ____inches
______ Ski Boat ______ Pontoon ______ Mini-Pontoon
Manufacturer Model # Overall Length Overall or Deck Width
_________________________ __________ _____ feet ____inches _____ feet ____inches
______ Ski Boat ______ Pontoon ______ Mini-Pontoon
Manufacturer Model # Overall Length Overall or Deck Width
_________________________ __________ _____ feet ____inches _____ feet ____inches