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SUFFOLK
COUNTY
~ S S:
TOWN OF SOUTHOLD
~1 b. ~ol~uml.q ~m~a~ tibet I will support the Constitution of the United Stores end
the Constitution of the Store of New York, end thor I will foithfully dischorge the duties of
the office of ..... accordin§ to the best
of my ability; an~t I do further solemnly sweet thor I hove not directly or indirectly [:mid,
offered or promised to poy, contributed, or offered or promised to contribute, ony money or
other voluoble thin~ os o considerotion or reword for the givino or withholding a vote et
the election et which I was elected to sold office, end hove not mode ony promise to influ-
ence the Oiving or withholding ony such vote.
Sworn before me this.~.~ay
.....
Hotmry Public, State of Hew York
Residing in Sutfe[~ Co. Official No. 237
Commission £xoires Match 30. 19