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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 ? 7'
(TYpe or Print Nacrae)
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.
Sworn to before me, this .~./~... day
of ...~...~....~....~..~.......¢~. ...... , 19..~..~..
Notary ~~
Address .....~....~: .~.. :'....~..~..~.~.../. ...................................
Post Office ..... ~....~:.....YZ'.,~.. 4 .~....~....~;...~_.(. .....................
Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.
Date filed ...../.?.i...~../..?....~....~'....~.. .......
OCT ~ 0 196~