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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.)
Sworn to before me, this .~/.i.. day
Notary
IGARTIN tUTER
NOIARY PUBLI~, Stat~ of New York
Qunlifl~ in Suffolk Ge~n~
N~ ~2.39M92S
~0mmlsslon Expires ~nmh
Si nature
Address ......
Orioin, I to be filed with Town (Vill~oo) Clerk.
Copy to be held by D~rtm,nt S~cret,~.
Date filed ........................................
my ability.
STATE OF NEW YORK
SUFFOLK COUNTY N .o 576
TOWN OF SOUTHOLD
I, . .... .G..~F~.~. ...... ~ ...... ~.~.~..~[' do solemnly swear (or affirm)
(Type or ~Print Nam&) .............. '
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