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DATH OF OFFICE FORM NO. 69 wVOiainsan Lnw Rcakco. Ycior, rev tae~a
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I, ~ ~ 4-r_ ~ ~i1i/» lrZ. , do solemnly swear that
I will support the Constitution of the United States and the Constitution of the State of New York,
and that I will faithfully discharge the dutie/~s of
according to the best of my ability.
(Signed)
Subscribed and sworn to before me this
day of ~(,v~c~ ,20
(Signed} -
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