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Oath of Office for Voluhteer' Fire Policemen
(New York State Municipal' Law, Section 209-C,.)
STATE OF NEW' YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
N.° 539
Richard Simicioh
I, . ........................................................................... , do solemnly swear (or affirm)
('[hj~e or Print Na~ae)
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 Matti~uck
............................................................ Fire Department, according to the best of
my ability.
Signature ~.~.6:?& /
Sworn to before me, this ..L/...z'..~... day
of ........... .~.1~.') ................... , ~9.~.
Notary .... .../~..~..~.. ..................
PETER M. COLEMAN
I~CTA~,Y PUBLIC, State of New York
Ho. 52-575857'0
QucJif!ed in Suffolk County
Commission Expires March 30, I~'/~
Add ress ..... Q.1...o.....~..~..1...0... ~..1~....0. ..............................
Post Office ..~..~...~..t;...J:..t,...~..~..~..~.....~.....~..... ..... .~...],..9...~..~. ........
Original to be filed with Town (Village) Clerk,
Copy to be held by Departmen~jj,/~'Er~tt~:~,,.
Date filed ............ ~'/fli¥'"~.' 0' ~98~' ' '
Town Clerk $outhol~l