HomeMy WebLinkAboutDiffley, Jerry Oatl~of for Volunteer FJrz~olld~hzn
(New Ymk State Municiphl Law, Section 209-G.)
STATE OF NEW' YORK '
SUFFOLK COUNTY
TOWN OF SOUTHOLD ~
Jerry Diffley ' ' , ·
I, ... ............... : ........................................................ , do solemnly swear (or affirm).
. ('l'3q~ 0r .Print He, ne)
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
Mattituck
of the ............................................................ J-.re Deportment,' according to the best of
my obdity.
Signature ..~.~~" ............................
· Address ......................................................... /)
A ~. Post Office ...................
..~. ........ day Original to be filed with Town (Village) Clerk.
Sworn to before me, this .
of ......... · .~.~. .............. 1.19..~...'~. Copy to be held by Department Secretary.
· RECEIVED
ALLAN C. OlCICERSON :
I~0TARY PUBLIC, STATE OF NEW YORK
01JAL[?:~9 I,~l SU,"~:0LK C0.,l~0.52-&?~175 / OCT g' 1992:
COM,~tSSION EXPIRES ...............~ .C( ~J , , -
town Clerk $outhold