HomeMy WebLinkAboutHickey, John T Ot~lll ~t Oltte~ For'Vol~ilt~t' ~'h'~ Polleemefl '
(~eW York Stair ~ufll~lpol Lo~, Seetlofl 209-G.) '
STATE OF NEW' YO~K · ' .
SUFFOLK COUN~ ' ." ; ·
TOWN O~ SOUTHOLD
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thai I will ~uppmt the Con~lllutlott of th~ Urlll~d Stol~s, o~ Ih~ Conttltullofl of the Slate
ol. New Ym~, ond Ih~l I ~lll follhfull~ dltchmg~ Ih~ dulleJ
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Sworn Io jefm.e me, Ihlt ,,.:~, ......
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NOTAnY PUBLIC, STATE 0F r'~EW YORK
~ ag~,L~[;:]g I;~ SUFFOLK C0.. t~0.52-602~75
Original lo be filed wllh Town (Village) Clerk. '
Copy Io be held by Depatlment Secrelarj~ECEPdrED
OoZe hied .................. , ........ OCT .... ~ 199;~
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Town Clerk