HomeMy WebLinkAboutFisher, Herbert JrOath Ce?fl:ice for Volunteer Fire olicemen
York State Municipal Law, Sectlon~9-C.)
STATE OF NEW' YORK
SUFFOLK COUNTY
TOWN OF SOI:JTHOLD
I, . ........... ~.e.~.b..e.~...~.[.s..h..e.~..~.T.t ............................. , do solemnly swear (or affirm)
(Type 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~ ................ ..]~..~.~..c..k. .......................... Fire Department, according to the best of
Signoture . ..... '
Aaa ress ......... .2.~....~...o....1~..~....~. ?..e.... ............................
iC~hjD~,,~ Post Office ..... .~.~,.t~.:[L,~.~CJf~.,~l.,~r., .... ,1,~qS2 ..............
Sworn. to befor~i me, this .... !.7. .... day Original to be filed with Town (Village) Clerk.
f .~(~ ~,~ Copy to be held by Departrr~rlC~[/:E~a'ry. t .........
Date filed [~J~.~.. z~.~..~ ~.
Town Clerk Seuthold