HomeMy WebLinkAboutHaas, Timothy AOath of~l~ffice for Volunteer Fire Po~t~cemen
(New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
I, . ............. T.~p,9.'l;,~r..~x..~..~.~.~ ................................. , do solemnly swear (or affirm)
~ or .Print Name)
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 of the office of Fire Policeman
of the ......................... "~...~. .................. Fire Department, according to the best of
myability. .L .~...~..?. 1..~..'..~.
Signature'\ ...... ~ ...................
Add res s ./'~i~/-. ,Z~;/,), .... ,Z.'](.~/..x/~,. j.~. ,.~.....L.../.wv..~:. .........
Post Omce .....~1~;~/~. ..... ~.e~.....cfr.~.,~ .........
ELIZABEm ANN NEVILLE '
Term Expires October 31, 1~ -
Sworn to before me, this ..'.'.V./].. day
of
Original to be filed with Town (Village) Clerk.
Copy to be held by Departme~J~,,lir, g~ry.
Kg~,I:IVI:U
Dote filed ........ MAR .,~ Ig~-i/ .... "~.