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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C,.)
STATE OF NEW YORK
SUFFOLK COUNW N.°
TOWN or SOUT.O,D ' '
Sworn to before me, this ...!...~....-~.~day
o~ ...~.~.~.~.~ .......... , ~.~.~.
Notary~~. ....
37,
(be or 'Print Na~ne)
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.
Signature.......~......~~ ..... . .~....-......~.....~
Address ..... !...~...!..~.. .... ..~...~..~........~....-.::~. ............
Post Office ~c~ ~/~ ,..~.~.' ~...~..~.~.~.~..
Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.