HomeMy WebLinkAboutLlewelyn, Leonard J Jr Original ,
Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.)
STATE OF NEW' YORK
SUFFOLK COUNTY N .o 101
TOWN OF SOUTHOLD
I, ..~.e.~ZLftX'.C~...J.^...T~.~.~'.~.~],.~.~.~....J.~.., .............. , do solemnly swear (or affirm)
(T~pe 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 ...Ma.t.t-~.tu.c~k ................................... Fire Department, according to the best of
my ability.
Signature .~.~....~:~. .........
Address ..... 9-1.0. ~.ul.e.. Lane.,... B.ax...6.~.'7..~ ......
Post Office .Mat .¢.J. t,z~c k.~- L .... I... t...~ ..... Y ........
Sworn to before me, this .... 13. t, hday
of ...... A.p .~,~ ............... ;,v....v r~ 19...~0.
No,ary .... L.',~.'~6'.. .... ~.::~..C.~...~ ~
Original to be filed with Town (Village) Clerk.
Copy to be held by Department .Secretary.
Date filed~ ...... ~.. ......... .~.~
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