HomeMy WebLinkAboutWells, Randall A Oath of
(New York Store Municipol Law, Section 20~,,.)
STATE OF NEW' YORK ':
SUFFOLK COUNTY
TOWN OF SOUTHOLD
ffice for VolUnteer Fire Pc" ~.emen
I, . .......... ~Ti.~.~.I....A.~ ...~..~.~.S . . , do solemnly swear (or affirm). '~,
(T~pe or Print Na~ne)
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 ~f the office of Fire Policeman
of the Mattituok
............................................................ Fire Department, according to the best of
my ability,.
Signature ..~....~.f...~ ........ '.
· Address .... ./..? .~..~......./~/..~..C..~.~/~'~'~.. .... ~ ...... ~',~.~'.T!~-~ ~.
Post Office ....~..'~'...../..~"..~..~. .......................................
Sworn to before me, this .~.~.....'~.... day
of . ,
Notary ...~...~.~. ~ ............. '
Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.
Date filed ........................................
ANNE HALE
NOTARY PUBLIC, Sfafe of New York·
C #4772530, Suff. o~k CoUnN