HomeMy WebLinkAboutHanus, Edward JrSTATE OF NEW' YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
~ffice for V~unteer Fire Policemen'
.,W,,k s,.,. ..,,. '
I, Edward Hanus Jr. ' .... do solemnly swear (or affirm), ~'..
(Ty~e or .Print Nnme)
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
o{ the ............ .~.?..[~..i.~..u..q~. .......................... Fire Department,' according to the belt of
my ab,lity.
Sworn t~/~fore r~e, this ............. day
of ..........~ ~/.V~/~4. · .v~.. ............. ~ ..: .....
Nolary '...i,~. (~.~~..,...,.
Address ...~'..... ~.. ........ .~ ....................
Post Office ...........................................
Original to be filed with Town (Village) Clerk·
Copy to be held by Department Secretary.