HomeMy WebLinkAboutWolbert, Jonathan D{New }$~a~e Municipal Law. Section 20~-C
STATE OF NEW' YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
I, . .............. ..~..o..~...~.~.b...~..n....D........~!.o...~..b..e..?.~ ................ , do solemnly swear (or affirm)
(Type or Print Nsme)
that I will support the C4~nstitution of the United States, and the Constitution of the State
of New York, and that I will faithfully discharge the duties of the office of Fire Policeman
of the .. .....................~.~..t.~.$..~.~.~..~ ............... Fire Department, according to the best of
ab il
my
ity.
S igna,ure..~......~...~ .......................
^~,ss ...~....P.....O.....~.~..~ ..... .~L/~.,..~..
~o,, o~,~ .... ~c~...6f.i.~..:...~ ..................
Sworn to before me, this ....~..~.... day Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.
19..?....~.
of .... ,~,,- / . ,~' RECErV,,ED
~/~..~_~....~..... ~ Date filed ........
Not,~
t'~. 4331394
(~uatified in Suffolk Coun~