HomeMy WebLinkAboutTalbot, Christopher MOath of llice for Volunteer Fire PoWmen
(New~l~ork State Municipal Law, Section 209-
STATE OF NEW' YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
I, Chris Talbot do solemnly swear (or affirm)
(Ty~ or .Print Nsme)
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: .......... ....~..~..~.'.z.~...~.a..~.. ............................... Fire Department, according to the best of
my obility. ~..~.~ ...~..?~.~.-'~
Signature ........ '.....-
Address ..... ..... .~.-..~...e.....¥~.....~:......~. ?..: ....
Post Office ..............................................................
Sworn to before me, this ..,~.?... day
of ....... .~..~.~..n3~..cf ............... , 19~...
Comi~i~sion ~xph-es ~areh 80, i~87
Original to be filed with Town (Village) Clerk.
Copy to be held by Depa~jr/:~/Zi~l~J)reta'ry.
Dote f i le~l~.....]~ ~/..5. ~--~-t'