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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C..)
STATE OF NEW YORK
SUFFO'K COUNW N°. 20
TOWN OF SOUTHOLD
I,. ....... · .~......0... L~... tx::4. ' ~0 ~--° l~J do solemnly swear (or affirm)
or Print N~e)
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 Departrj~t,, according to the ~ of
my ability c'x ~.~~ ~
· Signature......~: . ~ . ....~. ~~~.~... ........... ....~. ~'~ ~.~....~) ~........
Address ..'""'.~ ~ ' .-~...L..~.'"~~'..~. ~ ..........
Post Of fic~ ' i: i ii~:~..'.~.~.'. · ..~...~. · "~i .... ...~.......~
Clerk.~
Sworn to before me, thisc~L~..~, day Original to be filed with Town (V I age)
Copy to be held by Department Secretary.
Date filed~-...~ .~... ..... ./. ' · .~"~'-)