HomeMy WebLinkAboutDiVello, John (2) Original
Oath/~Office for Volunteer Fire :emen
(New York State Municipal Law, Section 209-C,.)
STATE OF NEW' YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
N°. 79
Sworn to before me, this ./.~.../.'~. day
Notary .. ~.,~[,ff~./~..,~.. _
I, . ........ ~/.~.lt-/~4..~.l.K..~-:.:'...'..-~.. ............................ , do solemnly swear (or affirm)
(Type 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 of the office of Fire Policeman
of the ...~.~..~'/~.~.~..~-./~.' ............. Fire Department, according to the best of
ability.
my Signature.....~. ~....~.. ~'..~... ~.
Address ........ . .~....~..,¥.... ~.....~c...~... .............................
Post Office .~..~...~...!.~...~'...'~...~..~....~..7...Z/.y.~...~'~'~
Original to be filed with Town (Village) Clerk.
Copy to be held by Deportment Secretary.
Date filed...~...~./~...'..~. '/ff"..~. ~.~I-¥~B.
T,~,,,n e~o. rk Soutt/old