HomeMy WebLinkAboutWells, David BO"th~j~ Off'ica for ¥olut~toor Firo~p~icomen
York Stot~ Municipal Law, Section 21)9 C,)
STATE OF NEW YORK ':
SUFFOLK COUNTY .':
TOWN OF SOUTHOLD
I, ~avid B. Wells .... do solemnly swear (or affirm).-::~'
('1~ or l~rlnt lqa~'ne)
that I will support the Constitution of the United States, ant~ the Constitution of the State
of. New York, and that I will faithfully discharge the duties ~.f the office of Fire Policeman
of the ..~ .......... ~.~,.~.;j,~.~.~;~ ......................... Fire Department, according to the best'of
.
· Signature* ........................... ; ...................................
Sworn to before me, this {;?~,,,,,~, day
o~ ............. ~~,~9.?~.. , ~
· - (-' ELIZABETH ANN NEVIIJLE
l Notery Public, State of Nele.-Y~
No. 52-8125850, Suffolk County
Term Expires October 31, 19..~
A.. ' 4[/c~ C,~4:u%,,~. D,~.~. ......... aaress '. ........... .;~.;~j ...................................
o,,,~, ~..~. .... ~..~.~.~u.~. .....
Original to be filed with Town (Village) Clerk,
Copy to be held by De~ment Secretaw,
Dote filed ~ .... ,~..~.~......~.