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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.) ,
s'rA'r~ OF N~W vo~
SUFFO,t< COUN'rV N°. zl 81'
'tOWN oF soo'mo,c,
1, . .... .~,~?/1~/~... .... ..~.'......~ff..~...~....~./...~.~...~....~.., do solemnly swear (or affirm)
(Ty~e or Print Nsrne)
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.
Signature
Address ................
Post Office .......................
Sworn i(/~before i[~, this ...~..~.....'/ day Original to be filed with Town (Village)Clerk.
of .....~ ................. '~..~ ..... Copy to be held by Department .Secretary.
Nato r~ ~iiiiii~..~.:..~~--- Dote filed ........................................
ALLAN C. DICKER$ON
NOTARY PUBLIC, STATE OF NEW YORK
t~. 52-6022275 Suffolk C~.
Commission Expires ~larc~ 30, 19~1~