HomeMy WebLinkAboutSaunders, Jean AO~th
I)
STATE OF NEW' YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
Off'ice fo.r Voluntoor Piro ~,emen
York Slate Municipal Law, Section )
':
Jean Saunders .
I, ................... .. ........................................................ , do solemnly swear .(or affirm).,.::~,
.... ('r,/pe or ~'lnt, Nme)
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 duties ,,f the office of Fire Policeman'
of the .............. .H..a..~.t..~.~.,u..~.~. ........................ Fire Department, according to the best of
my ability.
Signature
Sworn lo before me, this .... ..~...~.. day Original to be filed with Town (Village) Clerk.
o[ //~/~'/( lo ?..~'~ Copy to be held by Department Secretary.
I No(B,y ~ State of New Ym'k
~.th ~f Oltlu~ toe.V~l~,te~. ~.lt~ Policemen
STATE OF ~EW' YORK '
SUFFOL~ COUH~ ' ." ~ ·
TOWN oF SOUTI-IOLD ~ ~
I, .... ~.~...~~.~.~,..,.... .......... , d~ ,ol,m. ly ,wear' (or allhm), · ·
Ihot I will ~uppott Ihe Ko.~tllulloH of Ihe grilled Stale~, o.d Ihe Co.~lllullo. el Ihe Slole
of. New York, alld Ihol I will follhlully di~chorge Ihe dulleJ ~f Ihe ollice of Fire Pollcem.
my ablllly.
SIg~uluro ~
· Addte~
Posl olflce
°' ........... '~- 'T'" ........... i ~,~.
~ NOTARY PUBLIC, STATE CF?;7'W YORK
UAU;=JF:D IN SUFFOLK C0.,I,0.52-6022.;175.
co,M~mO, ~'~ m~.a,e-.~J.~' / ~ q
~attment,.:~lng Io Ihe be~t of
~.~.L.LA~..~....
~~...u ........ ~, '..1
orlghml Io be filed wllh Tow. (Village) Clerk.
Copy Io bo held by Detriment Sectela~,
~VED
Dole filed ............... ,.., .....................
OCT '~
town Clerk ~uthol¢