HomeMy WebLinkAboutMileska, Thomas J Oa t~ et~ ~or Volut~t~r , eme~'
(Hew York Stale ~u#lelpel Law, Seellofl 209.G.)
STATE O~ NEW' YORK ' ' ,
SUFFOLK COUN~ '
ToWN o~ SOUTNOL~ ,
I ~ '. ': .
~m~ . ~ t~-s~ . ....
I, ...,.,,...,,,.,,..,,,, .......... , ........... , .......... ,,,,,,,,,.,.,,,,,..~ do tolemly ~wear' (or affirm). ~''
Ihoi I will tuppott the Contlltullo~ of Ihe UHIlld $1olet, ahd Ihl Conllllullon al the Slate
ol. New York, and Ihat I will faithfully dllchotge the dullel ~t tho olflce of Pl~e Pollce~n
oJ the ...... ,,~.~.~,~,~,,,.,,,,,,,.,,,.,,,,,,,~lte bopatlment,, according to the belt of
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po~t omc, ~~o ~ ~ I l
Orlglr~al lo be filed with 'Towh (Village) Clerk. '
Copy Io be held by Deporlmer~t Secretary.
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