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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
SUF O,K COUNTY NT9
TOWN OF SOUTHOLD
I, ...~......~../..-~. ...... ....~......~..~i~'..~..~..~.:~..C./~./....., do solemnly swear (or affirm)
(Ty!oe 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
my ability.
Sworn to before me, this~..~day
of ..... ~..C..7~ZTZ~...~.. ~..,/1.~..~. i..~..
Post Office ..... ~.~r......c~..~...'.~.~. ..................................
Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.