HomeMy WebLinkAboutHarned, Thomas B Original r ~
Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
SUFFOLK COUNTY N ,o 5 5 5'
TOWN OF SOUTHOLD
I, ..--.l~.-.-;.~...r~...~..-~...-...~-.. .......... , do solemnly swear (or affirm)
(Type 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 ..L.~..~....~..~..~.~.~..~..~. ....................... Fire Department, according to the best of
my ability.
Sworn to before me, this ...,~../..... day
~OTARY PUBLIC, Stele cf t~ew Y3~
9unlified in Suffolk ~un~
No. ~2-39~925
Commt=ion Expire, Mer=h 31, 197~
S ignatu re . ~.~. ~/~¢~e~..~ .~.....~ ~...;..~.~. ~,,:,:..~...
Address ..... ,~..O.~...~...~'..J ..... /~....tC'..~. .........................
Post Office ...~.. ..... · .'~./..~(.. ~..~. l~..:.x,~'-.
Original to be filed with Town (Village) Clerk.
Copy to be held by Department .Secretary.
Date filed .....~...~...~../.F...~......~... ..........