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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.)
STATE OF NEW' YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
N.° 38
I, ..... ¢.-3...:....~....%.Z./:'...~.~... .................... , do solemnly swear (or affirm)
('l'~pe or .:Print lXTame)
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.../..~ ....................... Fire Department, according to the best of
my ability.
Sworn to before me, this/.~..~day
Notary . ./K..~~~..
Signature .~.._~~....~.. :...~~ .........
Address ~.....~..:.~ ................ ../'. ...........
Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.
Date f.l/ed.~...~..' ..... ./.~..'.,~)~--