HomeMy WebLinkAboutGrossenbacher, Alfred J Original
Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.)
OF
SUFFOLK COUNTY N
TOWN OF SOUTHOLD
I, .IL~ff. rx~.~.....~....k.~..J.~.O..~...~..~,..t.v..'...4.~.~ll..~.. ............ , do solemnly swear (or affirm)
(Tyr~e or Print Name)
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...J..~.. .......................... Fire Department, according to the best of
my ability.
Sworn t efore ml~,,this .... ..~....~.. day
o, ...... .........
ALLAN C. DICKER$ON
NOTARY PUBLIC, STATE OF NEW YORK
r~.'. 52-bO2227b Suffolk C~.
J;0mmj,ssl011 Expires March 30, lcJ~J
Originol to be filed with Town (Villoge) Clerk.
Copy to be held by Deportment .Secretary.
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Dote flied ..... ..~./..~../~...~. ................
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