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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.)
SuFFO,K COUNW N .o 38
TOWN OF SOUTHOLD ' '
I, . ..... ...~.....O...~L.i~. ...... ...~..'. ....... ~...,~.~..~. ............. , do solemnly swear (or affirm)
(Type or Print Na~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 Policeman
of the ....... ,/?].~.....~....f../.'..7...6/..~:../~. ............. Fire Department, according to the best of
my ability. ~ ~~'~
Signature .~.......~... ......
Address ........ .,~...~<......'~ ~ - ,/~..~....~':...~..~ ......................
Sworn to before me, this /.~..~. day
of .~.~:~.~.~ ........ ~
Post Office .............................................................
Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.
Date filed ........................................