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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
TOWN OF SOUTHOLD
/O _ /
I, ...~.~. ...... .~.~...,......~..L..~..-....~.../~/...~.., 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 duti/es of the office of Fire Policeman
of the ...... ~....~~.~.:.~ ......................... Fire Depar$~egt,// arraying to the best of
my ability.
Signature
Address . .~..!..~....~....~.....~.~....~.../~ .~.~
Post Office
Original to be filed with Town (Village) Clerk.
Copy to be held by Department .Secretary.
Date filed ...... . .~..~...-[...~. ~..!~..D?. ........