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· ' Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.)
. ST^TE OF NEw YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
', .....~.~...~....1~..~--...~{I.(~J~..; ........................ , do sole~ly swear (or affirm)
(~ o~ ~ ~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 Police~n
of the .~_~.;.~.~ ............................. Fire Department, according to the best of
my ability.
Signature..~..~.; ...............
Post Office .~~.,.~.~.~'' ..................
5worn to before me, this .~. day Original to be filed with Town (Village)/Clerk.
. -~~~ . 1. i ltl . l . ~...... _[.,..... , 1,~-~'....,.../, Copy to be held by De~ment Secreta~.
Of
N ota rY~~ Date filed ........................................
M~N SUTE~
NOTAEY PUBLIC, Sfafe o{ New York