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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 N ? 4 8 4
TOWN OF SOUTHOLD
I, . .......... ~ ...... /.~.. ................... , do solemnly swear (or affirm)
(~[~pe or ~int iXl'a~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 Department, according to the best of
my ability.
Signature ............
Address ..... .../..~. l. tlr~//ff~, r.4~. ~z/~ ..........................
Post Office .... ..~..-~....~...~......~_~ .~.... ......................
Sworn to]b~eforI~ this .....~.~./day Original to be filed with Town (Village) Clerk.
· .... v-/t,, 1/9'~''(i.e m,, Copy to be held by Department Secretary.
t . ~ff.J~lj~..1~ ~ Date filed
ALLAN C. DICKER$ON
NOTARY PtlfiLIC, STATE OF NEW YORK
F,e. 52-6022275 Suffolk Co.
C~missie~ E~pires ~larc~a :JO, 1~1~