HomeMy WebLinkAboutKlos, Brian T you T H p<p
RF 015TRG
SOUTHOLD FIRE DISTRICT
P.O. BOX 908. SOUTHOLD, N.Y. 11971
(631) 765-4305
FAX (631) 765-5076
September 8, 2022 RECEIVED
SEP - 8 202
Denis Noncarrow, Town Clerk
Town of Southold, Clerk's Office Southold Town Clerk
PO Box 1179
Southold, NY 11971
Re: Southold Fire District
Dear Denis:
Enclosed please find the oath of office of Fire Police that was administered.to
Fire Police Member Brian T. Klos. Please file this document accordingly.
Sincerely,
Carol A. Mil
District Secretary
Fire Poulce Oathof ()mace
1-7
Date oath Administered
I do solemnly swear that i will SUPPort the Constitution
the United States, and the Constitution of the tate of
of
York$ and that l will faithfully discharge the duties of the r4.OfOffice of FireP01ice member of thecihe
Fire Department, according to the
best Of my ability
(signature)
Print NameJs
Street Address 4 C 1
City,State,Zip
State of New Y011 ;
County of Suffolk:
SUbScrI!bTd and SWOM to before nye
this:T�day of C
Notary Public ,T W it NSKI
Pu tQ 4¢NC..,
Nv. Ate
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110.01€�di81 �NOW °f4c
Tom F.*res September 4,